4 September Poke A Bowl Lunch

Discount applies to 1st only order - all other orders will be full price.

Last Name / Nom de Famille

First Name / Prénom

Service Number / Numéro de Service

E-mail

Phone Number / Numéro de Téléphone

Member Status / Statut du Membre

Meal Option / Choix de Repas

Salmon Chicken Veggie

Cost / Coût

Member - $5 Non Member - $15

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

I acknowledge that my account will be charged $5.00 if not picked up between 11:30 - 12:30pm on 4 September in the Oak room

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

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I confirm that I have read the PRIVACY NOTICE.

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