Slough, Windsor and Maidenhead Branch

Summer Afternoon Cream Tea

Venue: Grovefield House Hotel, Burnham SL1 8LR

When: July 8th 2019 2.00 p.m. – 4.00p.m.

Total

Member’s Name ………………………………………………………………………
@£10

Member’s Guest……………………………………………………………………….
@£10

Other Guests …………………………………………………………………………….
@£15

Total to Pay £

Please make cheques payable to: Parkinson’s UK Slough, Windsor and Maidenhead Branch

And send with this completed form to:
Mrs Mary Tuck, 34 Park Lane, Slough, Berks SL3 7PF

Member’s address: ………………………………………………………………………………………………….…………

…………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………. Post Code:………………….………………..

Member’s ‘phone number …………………………………………………………………………………………….

Dietary Requirements

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Row 1, Column 1 Row 1, Column 2 Row 1, Column 3
Row 2, Column 1 Row 2, Column 2 Row 2, Column 3
Row 3, Column 1 Row 3, Column 2 Row 3, Column 3
Row 4, Column 1 Row 4, Column 2 Row 4, Column 3