Masonic Christmas Confirmation Form

Lodge or Chapter Name:
Lodge or Chapter No:
 Meeting Date (DD/MM/YYYY):
Contact Name:
DayTime Tel No:
Evening Tel No:
Email:
Menu Selection: (Enter 0 for any items not required)
Starter Item Qty:
Additional Starter Item Qty:
Main Item Qty:
Desert Item Qty:
Cheese and Biscuits Qty:
Alternative Dietary Menu:
Vegetarian Item Qty:
Omlette Qty:
Fish Qty:
Other Qty:
TOTAL NUMBER DINING:
 
Notes:
Important Click the Send Button to Submit your menu request

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