Preference list


Name:
Age:
Occupation:
Tel: (Home)
Tel: (Work)
Fax:
e-mail:
Language:
Blood group:
Postal Address:
In case of emergencies (please contact):
Do you have any physical condition that we should take note of?:
Self catering?		Yes No
Date / s? (if Yes)		Breakfast Lunch Dinner
Do you want us to serve:
Breakfast		Yes No
Dinner		Yes No
Picnic Hamper		Yes No
Allergies (specially foods):
Medication (if taking any):
Preference of Food:
Preference of Beer Malt:
Preference of Wine:
Preference of Liquor / Spirits:
FLIGHT INFO
Flight No:
Date of arrival:
Time of arrival:
Airport:
Date of Departure:
Time of Departure:
Airport:
.
Accompanied by:
Other information you think might be important:

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