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 Before the Meeting:

If you have already placed an order and just wish to confirm your dining numbers please click here
 
Menu Selection: (Enter 0 for any items Not required)
Starter Item No S Qty:
Second Item No S Qty:
Main Item No M Qty:
Desert Item No D Qty:
Cheese and Biscuits Qty:
Alternative Dietary Menu: (Enter 0 for any items Not required)
Vegetarian Item No V Qty:
Omlette Qty:
Fish Qty:
Other ie Vegan : As below 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 W Qty:
Red Wine Bin No W Qty:
Port Bin No W Qty:
Notes:
Important Click the Send Button to Submit your menu request

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