Lunch Pack Order Form
Order submissions are required 48hrs prior to the event. Lunch orders are non-refundable. Credit Cards only.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
A valid phone number throughout the event.
Boat Name
Sail Number
Team / Yacht Club
Event
*
E.g. NSW Optimist, Pittwater Regatta, Club Racing
Lunch Pack
EACH LUNCH PACK INCLUDES 1 x ROLL, 1 x FRUIT & 1 x MUESLI BAR.
Dietary Requirement Options
Gluten Free
Vegetarian
Vegan
Dairy Free
Other
Special Dietary Requirement Information
Lunch Packs are a mix of (Tick items you would like)
Ham, Cheese, Lettuce, Tomato, Mayonnaise
Roast Chicken, Lettuce, Mayonnaise
Cheese & Ham
Egg & Lettuce
Select Lunch Orders
*
Categories:
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Club Weekly Racing
TP52
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Club Weekly Racing
RPAYC Club Weekly Racing
Lunch Order: 1 x roll, 1 x Fruit, 1 x Snack Bar
$15.00 AUD
$
15.00
AUD
Quantity
Item subtotal:
$0.00 AUD
$
0.00
AUD
TP52
TP52 ACT 4 - 16 May
Lunch Order: 1 x Roll, 1 x Fruit, 1 x Snack Bar
$15.00 AUD
$
15.00
AUD
Quantity
Item subtotal:
$0.00 AUD
$
0.00
AUD
TP52 Act 4 - 17 May
Lunch Order: 1 x Roll, 1 x Fruit, 1 x Snack Bar
$15.00 AUD
$
15.00
AUD
Quantity
Item subtotal:
$0.00 AUD
$
0.00
AUD
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
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2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Terms
*
I agree to the above AUS $ to be charged to my nominated Credit Card. Lunch Packs available for collection from Halyards Bistro.
** 1% surcharge applicable on credit card transactions. Visa and Mastercard only accepted. No refunds applicable.
Signature
Date
-
Month
-
Day
Year
Date
Print
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