Please book your meal below and include details of your guests and any dietary requirements:

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I am intending to dine at the next meeting.

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Guest 1

Guest 2

Please indicate and dietary requirements in your group:

Notes / Please seat me with:

BACS payment to : Wiveliscombe Masonic Hall Club

S/C: 40-44-04

A/C: 12091712

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I agree that photographs taken at this event that may include my image may be used by the Lodge for future marketing and promotion purposes.

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