Essex Chapter Rose Croix No 894

Dining Request Form

Please return this form by Wednesday 15th October 2025

Meeting Date Wednesday 22nd October 2025

Venue Masonic Hall, Forest Approach, Chingford E4 7AZ

Seating

If possible please seat me with

My own Chapter is No.

Menu

Starter Broccoli & Stilton Soup
Main Course Steak & Ale Pie, Saute Potatoes & seasonal Vegetables
Desert Fruit Crumble and Custard - Tea or Coffee

N.B. The above cost includes wine or soft drinks.

Dining

I require seats for dining a £25.00 each, for which I enclose remittance of £

Payment

Please select your payment method.

ESSEX CHAPTER ROSE CROIX No.894
Sort Code 30-96-94
Account number 00298419
Ref:

Brian Smith
20 Hillcrest View,
Basildon
Essex SS16 4RD
Tel: 07740675736   Email: bss911@icloud.com

Unable to attend

I regret I am unable to attend on this occasion, please record my apologies.

Please tick to indicate you are unable to attend.


I have sent a donation of £ towards the Alms collection.

Admin Section

Enter the email addresses of those officers receiving a copy of this form as a comma separated list.

eric.terry2@gmail.com, mark.harrison@intertek.com, essex894@gmail.com, jonka91kg@gmail.com

A copy will automatically be sent to the member.