RESERVATION FORM TO BE
RETURNED NO LATER THAN OCTOBER 1, 2000
NAME ________________________________ Maiden (if applicable)
_________________________
SPOUSE or
GUEST NAME
_______________________________________________________
ADDRESS _______________________________________________________
_______________________________________________________
PHONE NUMBER ____________________________________
E-MAIL ADDRESS ____________________________________
NUMBER OF TICKETS
______________________ @
$45.00 EACH = $
______________
PLEASE ADD ME TO THE PATRON'S LIST AT A COST OF $15.00
$
______________
(If unable to attend, I will receive a directory for being a patron)
UNABLE TO ATTEND BUT WISH A DIRECTORY AT A COST OF $10.00 $ ______________
TOTAL AMOUNT ENCLOSED $ ______________
I/WE
WILL BE
WILL NOT BE
ATTENDING THE COCKTAIL PARTY
(CIRCLE
ONE PLEASE)
DINNER ENTREE CHOICES:
PRIME RIB OF BEEF
1
2
(PLEASE
CHOOSE ONE)
CHICKEN BREAST W/CRAB DRESSING 1
2
(PLEASE CHOOSE
ONE)
PLEASE RETURN THIS FORM EVEN IF YOU ARE UNABLE TO ATTEND, SO THAT WE
CAN VERIFY YOUR NAME, ADDRESS, AND PHONE NUMBER FOR FUTURE MAILINGS TO KEEP YOU INFORMED!
MAKE CHECKS PAYABLE TO: CLASS OF 1960
ALICE NAGLE
2280 SCHLOSSER ROAD
HARLEYSVILLE, PA 19438