Enter Craft Lodge [drop down list] Yarborough Lodge Duke or Normandy Lodge Royal Sussex Lodge Loge La Cesaree Royal Alfred Lodge St.Aubin's Lodge Prince of Wales Lodge De Carteret Lodge Lodge St. Helier Jersey Lodge of Unity Jersey Lodge of Installed Masters
First name: Last name:
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Parish St.Helier St.Brelade St.Clement St.John St.Lawrence St.Martin St.Mary St.Ouen St.Peter St.Saviour Grouville Trinity - Post code
Email Address:
How many large teddies? [25 in, £ 15.00 ] One Two Three Four Five None
How many medium teddies? [16 in, £ 10.00 ] One Two Three Four Five None
How many small teddies? [£ 5.00 ] One Two Three Four Five None
Sponser a bear - Receive a sponsor's pin [£ 5.00 ] Yes No
Small teddies - colour:
