PALM HARBOR NEWCOMERS CLUB
PHNC Luncheon Reservation Form

Must Be Mailed by May 8, 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 - Chicken and Cheese Enchiladas with Side Salad of Marinated Tomato, Cilantro, Onion and Machengo Cheese
Entrée 2 - Chicken Caesar Salad with Croutons and Parmesan Cheese
Entrée 3 - Chef's Choice Vegetarian
Dessert:  TBD
This is my first luncheon as a new member:  _______

SORRY, NO REFUNDS OR LATE RSVP.