PALM HARBOR NEWCOMERS CLUB
PHNC Luncheon Reservation Form

Must Be Mailed by February 6, 2017
Please mail this form with checks 
(including guest checks) payable to PHNC

Mail to:  

Pat Salvior
2412 Forecastle Drive
Palm Harbor, FL 34685

Luncheon Cost:  $22.00 (Includes meal, program, valet parking)

MEMBER NAME:
____________________________  Menu Item_______
 PLEASE PRINT

GUEST NAME:                              Menu Item
1.________________________       ____________
Tel:______________________ 

2.________________________       ____________
Tel:  _____________________

Menu
Entrée 1 - Roast Pork Loin with Gravy, Mashed Potatoes and
Buttered Carrots
Entrée 2 - Fish Sandwich with Asparagus
Dessert:  Strawberry Cheesecake
This is my first luncheon as a new member:  _______

SORRY, NO REFUNDS OR LATE RSVP.