Hospice Quiz Night Sunday 24 July 2022 Registering for our event Thank you for supporting the Hospice by booking a place for our Hospice Quiz Night on Sunday 24 July at 7pm. Please complete the online registration form below or for further details contact our Fundraising Team on 020 8319 9230 or email at team@gbch.org.ukYour detailsFirst name* Surname* Address* Street Address Address Line 2 Town/City County AvonBedfordshireBerkshireBuckinghamshireCambridgeshireCheshireClevelandCornwallCumbriaDerbyshireDevonDorsetDurhamEast SussexEssexGloucestershireHampshireHerefordshireHertfordshireIsle of WightKentLancashireLeicestershireLincolnshireLondonMerseysideMiddlesexNorfolkNorthamptonshireNorthumberlandNorth HumbersideNorth YorkshireNottinghamshireOxfordshireRutlandShropshireSomersetSouth HumbersideSouth YorkshireStaffordshireSuffolkSurreyTyne and WearWarwickshireWest MidlandsWest SussexWest YorkshireWiltshireWorcestershireClwydDyfedGwentGwyneddMid GlamorganPowysSouth GlamorganWest GlamorganAberdeenshireAngusArgyllAyrshireBanffshireBerwickshireButeCaithnessClackmannanshireDumfriesshireDunbartonshireEast LothianFifeInverness-shireKincardineshireKinross-shireKirkcudbrightshireLanarkshireMidlothianMorayNairnshireOrkneyPeeblesshirePerthshireRenfrewshireRoss-shireRoxburghshireSelkirkshireShetlandStirlingshireSutherlandWest LothianWigtownshireAntrimArmaghDownFermanaghLondonderryTyrone Postcode Phone*Email* Enter Email Confirm Email Participating* I understand that I take part in this event at my own risk and that Greenwich & Bexley Community Hospice cannot be held responsible for any loss, damage, or injury, however caused as a result of the event. I agree that any images taken during the event may be used for publicity purposes TicketsHospice Quiz Night- £5 per person*Select a ticketHoliday Inn Quiz Night (£ 5.00)Quantity*Please select1 ticket2 tickets3 tickets4 tickets5 tickets6 tickets7 tickets8 ticketsTicket holder's name- if different from above 2nd Ticket holder's name 3rd Ticket holder's name 4th Ticket holder's name 5th Ticket holder's name 6th Ticket holder's name 7th Ticket holder's name 8th Ticket holder's name I would like to make an additional donation to support the work of the Hospice Total £ 0.00 Boost your donation by 25p of Gift Aid for every £1 you donateGift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.Gift aid I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want to Gift Aid this donation and any donations I make in the future or have made in the past 4 years to Greenwich & Bexley Community Hospice. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I have given. I will notify Greenwich & Bexley Community Hospice if my name, home address or tax-paying status changes. By registering for this event we will contact you by post and email about the event. We would also love to stay in touch to tell you about the amazing difference that you’ve made, update you with the work we are doing and other ways to support. We want you to be completely happy with how we communicate with you and you can change your mind at any time. Call 020 8319 9230 or email fundraising@gbch.org.uk Please tell us how you would like to be contacted by the Hospice. Yes, I am happy to receive occasional phone calls Yes, I am happy to receive text messages Yes, I am happy to receive emails No, please don't send me information by post How did you hear about this event?*Social mediaHospice websiteBannersLetter/emailPosterPressThrough a friend
