You are booking for Jeremy Bowen on the 12th October Lead-Name (required) Membership Number, If you are not a member please type non (required) Email (required) Please enter your mobile number (if no mobile please enter landline number) (required) How many Seats for this Excursion? Please Select123456 Please tell us the name (s) of additional people on this booking. I wish to get the coach at: Please be aware the departure points are Herne Bay, Wincheap Park and Ride or Medway Services - London Bound Side. FOR MEDWAY SERVICES Please provide the make and registration number of the vehicle that you will be using on the day (required) Departure times are as follows: Herne Bay: 16.15hrs Wincheap Park and Ride: 16.45hrs Medway Services: (depart) 17.25hrs Any Additional Information including dietary requirements where applicable Once the form has been submitted you will be advised about payment. If you do not receive the automated response within 24 hours please call the Chairman on 07842 124094 or send an email to treasurer@silverphoenixtc.com