D I N N E R M E N U Red Beetroot Salmon Gravalax with Potato and Asparagus Salad *** Slow-cooked Feather Blade Steak with Butternut Squash Mousse, Spinach, Potobello Mushrooms and Barolo Jus *** Chocolate Banana Flambé *** Coffee and After-dinner Mints *** Special Dietary Requirements Grilled Cod with Parsley Sauce OR Roasted Butternut Squash and Pea Risotto with Shaved Parmesan SPECIAL DIETARY REQUIREMENTS Please list each guest with special requirements Guest name: Grilled Cod with Parsley Sauce OR Roasted Butternut Squash & Pea Risotto Copyright Provincial Grand Lodge of Surrey 2014 Province of Surrey DINING BOOKING FORM: SURREY ANNUAL MEETING: 25th JUNE 2014 – LODGE SECRETARIES PLEASE DISTRIBUTE TO ALL LODGE MEMBERS YOUR BOOKING DETAILS Please send me ......... dinner tickets at £42.00 each for which I enclose a stamped addressed envelope and a cheque for £ ................ made payable to: Provincial Grand Lodge of Surrey. I wish to be seated with the Brethren of ................................................................ Lodge No ................ Name Rank Address Email address Lodge Post Code Tel No Names of all Brethren dining (other than yourself) must be listed opposite. Please note that tables of 10 are the maximum BOOKING FOR GUESTS q Tickets will be allocated in order of receipt of this booking form and cheque or BACS payment. q You will be seated as near as possible in accordance with your wishes. q Tickets will be sent to you via email before the event unless you request a printed ticket by post, in which case you must enclose a stamped addressed q Your table number will be shown on the Table Plan available on the day. PLEASE LIST YOUR GUESTS (OTHER THAN YOURSELF) BELOW Print Name Print Lodge name Lodge No Please return this form together with the stamped addressed envelope and your cheque to the Provincial Oﬃce no later than Friday 25th April 2014. Provincial Grand Lodge of Surrey, 71 Oakﬁeld Road, Croydon, Surrey CR0 2UX Alternatively you may scan and email the form to provincialoﬃ[email protected] and pay by electronic payment (BACS). If paying by BACS you will need the following details: SORT CODE: 30-92-45 ACCOUNT No. 00075852 A/C PAYEE: PGL Surrey YOU MUST PUT “AGM Dining” and your name in the reference box. Your tickets will be sent to you via email. Please list any special dietary requirements overleaf The Festive Board Dinner will follow the AGM and will be held in the Grand Connaught Rooms on Wednesday 25th June 2014 at 6.30 pm. The price is inclusive of wine (a third of a bottle per person).