Extra Guests Registration Form

Heysham Lodge Members Only.

This form is for Heysham members to register any additional guests for the next meeting.

If you experience difficulties completing this form, please contact treasurer@heyshamlodge.co.uk

Date of registration(Required)

Name(Required)

First Last

Email address(Required)

Please enter the number of guests (Required)

Price: £ 18.00

Don't include yourself in this total, this is just the number of your guests

Details of your guests

Name

Lodge Number

Rank (if known)

Please use the plus icon to add more guests

Do any of your guests have any allergies or dietary requirements?(Required)

Yes

If yes, please provide details

Total

How do you want to pay?

If you choose the card option, please enter your card details below. If you choose the BACS (bank transfer) option, please make a payment from your bank account after you submit the form. The Lodge bank details will be provided when you submit the form.

Please pay funds to Heysham Lodge 4108. Sort code 20-47-61. Account number 40457191. It is a Barclays business account. Include your full name as the payment reference.

Card payment

Pay with a debit or credit card

Extra Guests Booking

Extra Guests Registration Form