Registration Form

MEAL:   $18.00 PER PERSON, includes buffet lunch, tax and tip
name tags, PAID IN ADVANCE

Please Choose Entree: (A) Sliced Roast Beef Au Jus or
(B) Chicken Parmesan:
both with Herb Roasted Potatoes & Green Beans Almondien

PLEASE PUT NAME AND WRITE IN "A" OR "B" ON REQUIRED RESERVATION FORM

Cut here& ----------------------------------------------------------------------------------------------------------------

REGISTRATION FOR HAGERSTOWN IN ORLANDO 2007

PLEASE PRINT & CUT OUT THIS REQUIRED RESERVATION FOR HERE, AND MAIL WITH YOUR CHECK and pictures to:
M. F. Kershner, 305 Nelson Ave., Longwood FL 32750-6733
(Phone 407-831-2928)
Get your reservations in early as seating is limited.  Registration closes
January 16, 2007

Please Print All Information and enclose your check and
childhood or youth pictures.
Computer printing hint: Due to the fact thal all printers and browsers are not configured the same, you may need to "select" all copy on this page, go to FILE/PRINT/SELECTION, to print out on your printer.  You may also need to go to VIEW/TEXT SIZE and select SMALLEST before printing. 

PLEASE PRINT NAMES AS YOU WANT THEM ON NAME TAG
AND WRITE ENTREE CHOICE IN BLOCK PROVIDED

NAME

SCHOOL

YEAR

ENTREE A or B

       
       

Number of Persons_____                Total enclosed $_______

Home Address____________________________________Phone____________

Florida address & Phone, if different, and dates you plan to be at this address:
_______________________________________________________________
_______________________________________________________________

EMAIL ADDRESSES (Note if one is for Florida only and what period of time
_______________________________________________________________
_______________________________________________________________

_____persons for Golf Game on Friday, 10:00 am Tee Off,  $25.00 per person
           includes golf game and cart, payable at event.
_____persons for Friday 7 pm dinner at Steak and Ale, dutch, a la carte
          ($15 to $20 range)
_____persons for Sunday Brunch 9:30 am at First Watch restaurant dutch
          ($8 to $12 range)

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