Essex Chapter Rose Croix No 894

Dining Request Form

Please return this form by Wednesday 21st May 2025

Meeting Date Friday 30th May 2025

Venue Saxon Hall, Aviation Way, Southend-On-Sea, Essex SS2 6UN

Seating

If possible please seat me with

My own Chapter is No.

Menu

Starter Deep Fried Garlic Mushrooms with Spicy Dipping Sauce
Main Course Chicken & Vegetable Pie, New Potatoes & seasonal Vegetables
Desert Traditional English Sherry Trifle - Tea or Coffee

N.B. The above cost includes wine or soft drinks.

Dining

I require seats for dining a £25.00 each, for which I enclose remittance of £

Payment

Please select your payment method.

ESSEX CHAPTER ROSE CROIX No.894
Sort Code 30-96-94
Account number 00298419
Ref:

Brian Smith
20 Hillcrest View,
Basildon
Essex SS16 4RD
Tel: 07740675736   Email: bss911@icloud.com

Unable to attend

I regret I am unable to attend on this occasion, please record my apologies.

Please tick to indicate you are unable to attend.


I have sent a donation of £ towards the Alms collection.

Admin Section

Enter the email addresses of those officers receiving a copy of this form as a comma separated list.

eric.terry2@gmail.com, bss911@icloud.com,  jonka1@hotmail.co.uk

A copy will automatically be sent to the member.