Hotel Booking Form

Name__________________________ Address________________________________________

_________________________________________________________________________________

Telephone Number_______________Mobile_______________ E-Mail_______________________

Cliff Hotel Accommodation Required Yes / No,

Single __( ) Double ( ) Twine ( ) Hotel Deposit Enclosed £ 10. 00 Per Person.

　

B&B, Accommodation Required Yes / No.

Single ( ) Double ( ) Twine ( ) B&B Deposit Enclosed £ 10. 00 Per Person

Please mark your Hotel / B&B Choices with (X) in the box. Deposits are Not Refundable.

　

60th Anniversary Dinner Menu,

Starter                                                                His       Hers

Fresh Melon & Blackcurrant Sorbet,             (     )    (     )

Traditional Prawn Cocktail,                             (     )     (     )

Main Course,

Traditional Roast Beef                                      (     )     (     )

Or

Fresh Roast Chicken                                          (    )     (    )

Or

Vegetarian alternative                                        (    )      (     )

Dessert

Fresh Fruit Salad & Cream                                (     )     (     )

Or

Homemade Apple Pie & Custard                       (    )      (     )

Tea or Coffee

Name Bro / Mr____________________________Mrs / Miss_____________________________

Address_______________________________________________________________________

______________________________________________________________________________

Dinner Deposit £ 10. 00 Per Person Not Refundable Full Payment by August 9th 2010 All Cheque

Payments Payable to the Perseverance Lodge 8261 R.A.O.B. Return Address Bro J.A. Brown

38 Clayton Road Ramsey Essex CO12 4TJ,