All fields marked with an * are a mandatory field.

Menu Choices:

Starter:

A: Chicken Caesar Salad, Croutons and Parmesan (GF on request)

B: Cod and Parsley Fishcake, Sweet Chilli Sauce (GF)

C: Roasted Tomato, Fennel and Basil Soup (VG, V, GF)

Main Course:

D: Roasted Supreme of Chicken, Wild Mushroom Risotto, Bacon Crisp and Parmesan (GF)

E: Roast Topside of Beef, Yorkshire Pudding, Pan Gravy, Roast Potatoes and Veg

F: Caramelised Onion and Goats Cheese Bouche (V) Served with New Potatoes, Fine Beans and Rich Tomato Sauce

Dessert:

G: Sticky Toffee Pudding and Custard

H: Lemon Meringue Pie, Raspberry Coulis, Blueberry &Mint

I: White Chocolate & Raspberry Roulade (GF)

Member:

Guest 1:

Guest 2:

Guest 3:

Guest 4:

Seating Arrangements:

Payment Arrangements:

By Bank Transfer(preferred):

Bank: Lloyds Bank plc Sort Code: 30-96-26 Account No: 34521468 Account Name: RNWA Reference: Dinner 24

By Cheque made payable to:

RNWA

and posted to:

Pat Prior BEM QVRM RNWA Treasurer, 17 Madden Close, Gosport, Hants. PO12 2PT

Please note that your application cannot progress further until funding has been received.

There will be a raffle on the night – £5 per strip of tickets – any donations of prizes will be much appreciated. There will also be the usual Heads and Tails, plus a £3 fine for not wearing your Writers pin! Make sure you have notes for the raffle and £1 Coins for Heads and Tails (2 games) and pin badge fine.5 per strip of tickets – any donations of prizes will be much appreciated. There will also be the usual Heads and Tails, plus a £3 fine for not wearing your Writers pin! Make sure you have notes for the raffle and £1 Coins for Heads and Tails (2 games) and pin badge fine.

PLEASE NOW SUBMIT YOUR APPLICATION……………………….