Register for Tea Day

You can register by

• Online
  Completing the online form below
• Phone
  Calling 1 800 719820
• Email
  Sending an email with your details to teaday@alzheimer.ie

Alzheimer's Tea Day Registration Form

Name *
Company
Address 1 *
Address 2
Address 3
County *
E-mail *
Telephone
Mobile

How many of each of these Tea Day supplies do you need

Standard Pack (1 Poster A3 Size - 1 Invitation Book - 1 Bank Giro - 1 Collection Box - 5 Books of Raffle Tickets)
Poster (A3 Size)
Invitation Book(s) (15 Invitations in a book)
Collection Box
Raffle Ticket Book(s) (€10 for book of 12)
Comments / Special Instructions
Where did you hear about Tea Day? Select an option ------- Tea Day mailing Radio Advert Poster Through a friend Newspaper/magazine Online Advert Other -------
Send