Uxbridge Menu Form

Lodge or Chapter Name:
Lodge or Chapter No:
 Meeting Date (DD/MM/YYYY):
Tea Time (HH:MM):
Meeting Time (HH:MM):
Dining Time (HH:MM) :
Contact Name:
DayTime Tel No:
Evening Tel No:
Email:

Menu Orders are required 4 working days (excluding weekend and bank holidays) before the Meeting:

If you have already placed an order and just wish to confirm your dining numbers please click here
SELECT Menu Choice From The Drop List
Menu Selection: (Enter 0 for any items Not required)
Starter Item No: Qty:
Second Item No: Qty:
Main Item No: Qty:
Desert Item No: Qty:
Cheese and Biscuits Item No: Qty:
Alternative Dietary Menu: (Enter 0 for any items Not required)
Vegetarian Item No: Qty:
Omlette Item No: Qty:
Fish Item No: Qty:
Other ie Vegan: Qty:

Must fit within pricing structure
(if in doubt please contact the Chef)

Wine Order: (Enter 0 for any items Not required)
White Wine Bin No: White Wine Qty:
Red Wine Bin No: Red Wine Qty:
Port Bin No: Port Qty:
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 send before leaving