29 November The Counter Lunch

Last Name/ Nom de Famille

First Name/ Prénom

Service Number/ Numéro de Service

E-mail

Rank

Phone Number/ Numéro de Téléphone

Member Status

Meal Option// Choix de Repas

The Counter Cobb Salad Pesto Veggie Sandwich Turkey Bacon Sandwich

Cost/ Coût

Member - $5 Non-Member - $15

Acknowledgement that $5.00 will be deducted from the members pay if the meal is not picked up between 11:30-12:30pm 29 November 2024 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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