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PLEASE MARK AS APPROPRIATE AGAINST MENU CHOICES

	Name	Melon	Prawn		Venison	Pork & Chest	Pork & Champ	Steak	Chicken	Well (V)		Xmas Pub	Cake
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	Totals

Please indicate your choices and return with your full name, address and contact number.
A deposit of £10 per person is required on confirmation of booking which is non-refundable.
We would appreciate 72 hours notice if there is a decrease of the number of people in your party otherwise full payment will have to be made.
For all Christmas parties a 10% service charge will be added to the total of your bill.

Name:	...................................................
Todays Date:	...................................................
Address:	...................................................
Telephone No:	...................................................
Number of People in Party:	...................................................
Amount of Deposit Paid:	...................................................
Balance Due on Evening:	...................................................
Date of the Part:	...................................................
Signed:	...................................................

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