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The Back-Up Trust Scottish Dinner 2010

 

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1. Name of table host

Name of table host

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2. Address

Address

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3. Contact telephone number

Contact telephone number

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4. Email address

Email address

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5. Are you a wheelchair user?

Are you a wheelchair user?   Yes No

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6. Vegetarian?

Vegetarian?   Yes No

7. Do you have any other special dietary requirements? (If yes please state)

Do you have any other special dietary requirements? (If yes please state)

8. Please list the names and email addresses of your table guests below (Max 10)

Please list the names and email addresses of your table guests below (Max 10)   Guest 1
Guest 1 Email
Guest 2
Guest 2 Email
Guest 3
Guest 3 Email
Guest 4
Guest 4 Email
Guest 5
Guest 5 Email
Guest 6
Guest 6 Email
Guest 7
Guest 7 Email
Guest 8
Guest 8 Email
Guest 9
Guest 9 Email
Guest 10
Guest 10 Email

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9. Are any of your guests wheelchair users?

Are any of your guests wheelchair users?   Yes No

10. If yes please state their names below

If yes please state their names below

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11. Do any of your guests have any special dietary requirements? (i.e vegetarian)

Do any of your guests have any special dietary requirements? (i.e vegetarian)   Yes No

12. If yes please state their names below and individual requirements

If yes please state their names below and individual requirements

13. The Back-Up Trust will use your email for the sole purpose of correspondence for The Scottish Dinner 2010. After The Scottish Dinner you will receive a thank you and information as to how your generosity has helped. If you do not wish to receive future correspondence from us please tick the box below.

The Back-Up Trust will use your email for the sole purpose of correspondence for The Scottish Dinner 2010. After The Scottish Dinner you will receive a thank you and information as to how your generosity has helped. If you do not wish to receive future correspondence from us please tick the box below.   Please tick here if you do not wish to receive any further information