Please note that packs will be sent out 8 weeks before the event.Contact details Name * Address * Postcode * Telephone number * Email * Email updates I would like to receive email updates on the work of Epilepsy Action and its trading company How did you hear about National Tea Break? Do you have a specific reason for hosting a National Tea Break? Date of Tea Break if not Friday 18 October 2013 We would really like to keep you up to date with the work of Epilepsy Action and ways you can support it, including through our trading company. If you prefer not to be contacted in any of these ways, please tick the boxes above. We will not share your information with anyone else. Data protection No mail No telephone Epilepsy Action privacy policy