SATURDAY 30 NOVEMBER LUFC CENTENARY PAViLiON

SATURDAY 30 NOVEMBER
LUFC Centenary Pavilion
Registered Charity No. 1015941
Tables are for parties of 8 to 12 and smaller parties will be asked to share a table.
Larger groups can be accommodated on long tables or separate round tables.
I would like to reserve
tickets at £45 per person
I WOULD LIKE TO PRE-ORDER WINE
Wine
No. of bottles
Price per bottle
White
£15.95
Red
£15.95
Rose
£15.95
Burra Brook
Cabernet Sauvignon (Australian)
Burra Brook
Cabernet Sauvignon (Australian)
Domaine, Manderville (French)
Total (£)
Total tickets (£)
Total wine (£)
Total amount payable
Party organiser CONTACT DETAILS
Name:
Address:
Postcode:
Telephone:
Email:
Please complete and return to:
Kairen Brown, St Gemma’s Hospice, 329 Harrogate Road, Leeds, LS17 6QD
or email kairenb@st-gemma.co.uk
Please call 0113 218 5537 if you have any queries
PLEASE RETURN THIS SHEET AS SOON AS POSSIBLE
AND NO LATER THAN 7 OCTOBER 2013
SATURDAY 30 NOVEMBER
LUFC Centenary Pavilion
Registered Charity No. 1015941
Thank you for reserving your tickets and wine (where applicable)
Payment in full is due no later than 25 October 2013
PLEASE RETURN THIS FORM WITH YOUR PAYMENT
Your tickets will be sent to you on receipt of your payment
Method of payment
Cheque
Visa
Mastercard
Debit Card
Credit / Debit Card No:
Card issue date:
/
Card expiry date:
/
Issue No:
Please make cheques payable to St Gemma’s Hospice
Party organiser:
Telephone:
Email:
Please complete and return to:
Kairen Brown, St Gemma’s Hospice, 329 Harrogate Road, Leeds, LS17 6QD
or email kairenb@st-gemma.co.uk
Please call 0113 218 5537 if you have any queries
PLEASE RETURN THIS SHEET NO LATER THAN 25 OCTOBER 2013
Registered Charity No. 1015941
SATURDAY 30 NOVEMBER
LUFC Centenary Pavilion
GUEST LIST
Company/ /Party
party
name
Company
Name:
Name of Guest
Special dietary requirements
Please print
vegetarian, vegan, celiac, nut allergies etc
Please use continuation sheet where applicable and return to:
Kairen Brown, St Gemma’s Hospice, 329 Harrogate Road, Leeds, LS17 6QD
or email kairenb@st-gemma.co.uk
Please call 0113 218 5537 if you have any queries
PLEASE RETURN THIS SHEET NO LATER THAN 25 OCTOBER 2013
Many thanks!
Registered Charity No. 1015941
SATURDAY 30 NOVEMBER
LUFC Centenary Pavilion
MENU
Timbale of Oak Smoked Salmon
with Piquant Prawn Mousse, Roast Tomato and Dill Oil
Vegetarian option
Feta and Sun Bushed Tomato Salad
with toasted garlic bread
...
Pan Fried Breast of Chicken
with wilted spinach, bubble and squeak cake and red wine glaze
Vegetarian option
Wild Mushroom Stroganoff
in a puff pastry case with pilaf rice
...
Profiteroles filled with Baileys Cream
served with hot chocolate sauce
...
Fresh Filter Coffee and Mints
...