
| Date of quiz: | 3rd April 2010 |
| Please reserve a table in the name of: | |
| I enclose a cheque for £36 for a table of six, made payable to 'Buttercups Sanctuary for Goats'. | |
| Your title (Mr, Mrs, Miss, Ms, etc.): | |
| Your forename(s): | |
| Your surname: | |
| Your address: | |
| Your postcode: | |
| Your telephone number: | |
| Your email (optional): | |
| Please specify how many require a vegetarian supper: | |
Please print a copy of this form, complete it, and return to:Buttercups Sanctuary for Goats, Boughton Monchelsea, Kent, ME17 4JU |
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