Pay for the trip to Chartwell To purchase place(s) on this trip please complete this short booking form. Upon completion you will be taken to PayPal to enable you to make the payment.Trip to Chartwell, Kent Total CostSingle Coach only£19.00Single Coach & Entry£33.00All fields marked * must be completed.Please select how many tickets you require:Select Tickets Required:*Select TicketsOne Coach onlyTwo Coach onlyThree Coach onlyFour Coach onlyOne Coach & EntryTwo Coach & EntryThree Coach & EntryFour Coach & EntryName:* First Last Name of second person: First Last Name of third person: First Last Name of fourth person: First Last Address:* Street AddressTown/CityPostcodeTelephone Number:*E-mail:*If you are a member of the Hardy Plant Society Middlesex Group please enter your membership number below:Membership Number:Preferred Pick-Up Point:*Ruislip - St Martins ApproachIckenham - Coach & Horses PubHillingdon - Tube StationHatch End - Morrisons' Car ParkAre you a member of the National Trust*YesNoPlease provide details of a person who can be contacted in the event of an emergency during the trip -Name of emergency contact* First Last Telephone Number*Privacy *Please tick the box below to confirm your consent to the data entered on this form being used in accordance with the Hardy Plant Society - Middlesex Group, Data Privacy Policy. Click here to view the Data Privacy PolicyI consent to my data entered on this form being used in accordance with the Hardy Plant Society - Middlesex Group, Data Privacy Policy.*Tick for yesSubmit Application & Proceed to PayPalClear Form