ESLC online booking - Friends of Sussex Hospices

Your name:*
First Last
Address*
Street Address Address Line 2 City State Postal/Zip Code
Phone*
Your email address:*
Membership number (if applicable)
I would like to book
Members lunch Quantity
Price: £ 30.00
Guests Lunch Quantity
Price: £ 37.50
Total
£ 0.00
Your own menu choices for main course & dessert*
Names of Guests (if applicable) and their menu choices
Please input the names of any guest you are bringing
Guest 1 & their menu choices
Guest 2 & their menu choices
Guest 3 & their menu choices
Special dietary requirements ie. Vegetarian / Diabetic / Gluten free (East Sussex venue only)

Please supply name and requirement
Should you wish to sit with a particular person or group please print their name/s here
Tickets will not be sent
If you require tickets, please send an SAE to Tricia Burgess, The Red House, Chelwood Vachery, Millbrook Hill, Nutley, East Sussex TN22 3HR
I am happy for FSH to process my information*
- Yes
Please be assured that in accordance with the Data Protection Act (2018) we do not disclose to or share personal information with any third-party organisations.
Payment
You can now pay by credit or debit card. If you have any questions please contact di.steele@friendsofsussexhospices.org.uk
Credit Card
Card Details
Cardholder Name
Name
This field is for validation purposes and should be left unchanged.

I would like to book