09 January 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 Vegetarian Option

with coconut rice, peas & tang slaw

Cost

Member - $5 Non Member - $15

Privacy Notice

I confirm that I have read the PRIVACY NOTICE.

Acknowledgement that $5.00 will be deducted from the members pay if the meal is not picked up between 11:30-12:30pm 09 January 2025 in the Oak Bar

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

Privacy Notice

I confirm that I have read the PRIVACY NOTICE.

Consent agreement

By registering to this program or activity, I consent to the collection and use of my personal information as described in the privacy notice above.