PHYLLIS TUCKWELL HOSPICE

FUNDRAISING EVENTS 2002 - BOOKING FORM

To purchase tickets please print and complete this form and send to:
Fundraising Dept, Phyllis Tuckwell Hospice, Waverley Lane, FARNHAM, Surrey GU9 8BL
or fax it to 01252 729414
 

Please send me the following number of tickets for 'Presentations in Colour' on Friday 22nd March:
No. of Tickets @ £6
 

 
Please send me the following number of tickets for the Jazz Night and Hog Roast on Saturday 11th May:
No. of Tickets @ £15
 

 
TOTAL ENCLOSED:    £…………………
I wish to pay by  (please tick as appropriate)

Cheque

Postal Order

Mastercard

Visa

Switch

(please make cheques payable to Phyllis Tuckwell Hospice)
Card No:
Expiry Date: Switch Issue No:
I enclose a SAE for the return of tickets.


I would like to help at the following Flag Day(s):

..................................................................................................................

..................................................................................................................

 

FIRST NAME .............................................................................................
SURNAME .............................................................................................
TITLE .............................................................................................
ADDRESS .............................................................................................
  .............................................................................................
POSTCODE .............................................................................................
DAYTIME TELEPHONE NO .............................................................................................
E-MAIL .............................................................................................
SIGNATURE .............................................................................................
 

top of page

back