Earl Shrewsbury Chapt. 1520 Booking Form

Royal Arch Dining Form

Dining Confirmation for the Earl Shrewsbury RA Chapt. Meeting

If you would like to dine after our next Chapter meeting, please fill in your details in the form below.

Confirmation must be made by NOON on Wednesday 4th February to ensure you are catered for.

Full Name (inc Office and Rank as applicable)

Chapter Name and Number (and Province if outside Staffordshire)

Phone

DIETARY REQUIREMENTS

None

Vegan

Gluten Free

Other (as specified below)

Specific “Other” Dietary Requirements, or if you have a preference to be seated with

Fields marked with a red * are required
Please check your email for confirmation, including your spam/junk folders.
If you do not receive a confirmation, please contact E.Comp. Andy Brittle on 07939 940780.
Thank you.

Meal cost is £25.00 pp

Please make cheques out to: Earl Shrewsbury RA Chapter No.1520

Bank Transfer Details:
Acc. Name: Earl Shrewsbury RA Chapter No.1520
Sort Code: 30-91-58
Acc. No.: 00210484
Please use reference 1520FB “your initial and surname” (ie 1520FB J.Bloggs)

Terms of booking

I agree that I am liable for payment of dining fee even if I do not attend