Western House/Barclays Bank Confirmation Form

Function Name:
 Meeting Date (DD/MM/YYYY):
Contact Name:
DayTime Tel No:
Evening Tel No:
Email:

Menu Selection: (Enter 0 for any items Not required)
Main Item 1 Qty:
Main Item 2 Qty:
Vegetarian Qty:
Desert Item 1 Qty:
Desert Item 2 Qty:
Ice Cream Qty:
Cheese and Biscuits Qty:
Buffet Qty:
   
TOTAL NUMBER DINING :

 
Notes:
Important Click the Send Button to
Submit your menu request

return to menu list
This page will reset when you leave, please print and then
send before leaving