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&
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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 |
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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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