PHNC Luncheon Reservation Form
Must Be Mailed by Friday, August 2, 2019
Please mail this form with checks
(including guest checks) payable to PHNC
9609 Gretna Green Drive
Tampa, FL 33626
Luncheon Cost: $23.00 (Includes meal, program, valet parking)
____________________________ Menu Item_______
GUEST NAME: Menu Item
Entrée 1 - Coconut Shrimp with Pineapple Sauce, Black Beans, Rice and Cole Slaw
Entrée 2- Salad: Greens with Chicken, Avocado, Corn, Tomatoes, Black Beans, Egg and Cheese
Entrée 3-Vegetarian: #2 without Chicken Vegan: No Chicken, Egg or Cheese and with Walnuts and Seeds
Dessert: Circle one: Coconut Cream Pie or Fresh Fruit .
These come with all meals: rolls, coffee and tea.
This is my first luncheon as a new member: _______
SORRY, NO REFUNDS OR LATE RSVP