19 June Kaleidoscope Lunch

Last Name/ Nom de Famille

First Name/ Prénom

Service Number / Numéro de Service

E-mail

Rank/Rang

Phone Number/ Numéro de Téléphone

Member Status / Statut du Membre

Meal Option

Jerk Chicken Veggie Option

Cost

Member - $5 Non Member - $15

MEMBERS ARE ENTITLED TO ONE MEAL AT $5. ANY ADDITIONAL MEALS WILL BE AT THE $15 NON MEMBER PRICING.

Acknowledgement that $5.00 will be deducted from the members pay if the meal is not picked up between 11:30-12:30pm 19 June 2026 in the Oak Bar

YES / Oui I AM A RESERVIST/ASSOCIATE - MY ACCOUNT WILL BE CHARGED $5 THAT I WILL PAY VIA E-TRANSFER

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