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SIR THOMAS WHITE LODGE

 

 

Application Form Saturday 29th. May 2004

 

 

PLEASE PRINT, COMPLETE AND SEND WITH PAYMENT TO:

 

Jeremy Gaskell Esq.,15 Landale Gardens, DARTFORD, Kent   DA1 2QB

Name

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lodge

 

 

 

 

Masonic rank (if applicable)

 

 

 

Names of Guests

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                   

Please

 - include Masonic Rank as applicable.

 - if you require transport from Moor Park station please tick

- advise of any vegetarian meal requirements with a “V” .

- advise of any gluten free meal requirements with a “C”.

- send a cheque to the address above for £60 per person, payable to:

 “SIR THOMAS WHITE LODGE 2004 FESTIVAL COMMITTEE”

 

Total number of persons _____      Cheque Value £ __________

 

The Master and Brethren of the Sir Thomas White Lodge look forward to welcoming you and your guests on Saturday 29th May 2004.

 
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