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 Q
ty:
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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