* All Profits/Contributions Go to the 2013 Appeal for the Royal College of Surgeons

Booking FormPlease reserve and send me tickets for the Gala Race Day

Name

Address

Does anyone in your party have special dietary requirements? If so please let us know and we will do everything to accommodate their needs:-……………………………………………………………………………………………..……………………………………………………………………………………………..

Items Ordered Each Quantity Total

2013 Royal Windsor Gala Race Tickets

£83.00 £

Raffle Ticket Books@ £5 per Book

£5.00 £

Total - - £

Please make cheques payable to “Gala Race Day 2013 Appeal” & send to

Gala Race Day 2013 Appeal, 1 Kingfisher Road, Buckingham MK18 7EX

A Gala Race DayIn Aid of the 2013 Appeal forThe Royal College of Surgeons

Maidenhead Road, Windsor, Berkshire, SL4 5JJ

Sunday 30th June, 2013

The Provincial Grand ChapterOf Royal Arch Masons in Buckinghamshire

presents