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Copy of Northern Counties Branch - Saturday 31 January 2026 - Dietary requirements

Page 1

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Question 1.

Please confirm your name

- Required.
This question requires an answer
Question 2.

Please provide GDC number (where applicable)

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Question 3.

Which starter would you like to order?

- Required.
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Question 4.

Which main course would you like to order?

- Required.
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Question 5.

Which dessert would you like to order?

- Required.
Question 6.

Do you have ​​​​​​​any additional special requirements? eg: dietary requirements, wheelchair access, large print, hearing loop etc

Question 7.

Any other comments: