23 Jun The Counter

Last Name/ Nom de Famille

First Name/ Prénom

Service Number/ Numéro de Service

E-mail

Phone Number/ Numéro de Téléphone

Rank

Member Status

Meal choice

Fall salad (Greens sweet onion vinaigrette, candied pecans, got cheese, apples and cranberries Counter Corn Beef Sandwich Turkey Bacon Sandwich

Cost/ Coût

Member - $5

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

YES / Oui

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