Lunch Form

THE EAST FAMILY HISTORY SOCIETY

2010 Annual Reunion and AGM
Saturday 16th October

NO LUNCHES can be ordered on the DAY

So please make your selection indicating the QUANTITY required and return the tear off slip by 09 October 2010 to:

Mrs Pamela Pearce, 29 Norton Road, UXBRIDGE, Middlesex, UB8 2PT

LUNCH MENU

Ham Salad
Fruit
Tea

or
or
or

Ploughman’s Lunch
Yogurt
Coffee

Total cost per lunch is £5.00. Cheques should be made payable to Mrs P M Pearce and must be enclosed with your order slip. Please mark and keep this top section as a reminder of your chosen selection.

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2010 Annual Reunion and AGM
Please reserve the following items for which I enclose cheque to the value of £...........

Ham Salad
Fruit
Tea

Ploughman’s Lunch
Yogurt
Coffee

Indicate chosen items by writing number required in each appropriate box. (One FULL LUNCH comprises THREE items, ONE from each line)

NAME:................................................... Tel No:......................................
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