PALM HARBOR NEWCOMERS CLUB
PHNC Luncheon Reservation Form

Must Be Mailed by Friday, October 3, 2019
Please mail this form with checks 
(including guest checks) payable to PHNC

Mail to:  

Linda Sanford
9609 Gretna Green Drive
Tampa, FL 33626
858-230-9909
Program This Month:  Hospice Fashion Show

Luncheon Cost:  $23.00 (Includes meal, program, valet parking)

MEMBER NAME:
____________________________  Menu Item_______
 PLEASE PRINT

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

2.________________________       ____________
Tel:  _____________________

Menu
Entrée 1 - Chicken Cordon Bleu with Roasted Red Potatoes and Buttered Broccoli

Entrée 2- Chinese Chicken Salad:  Chicken, Carrots, Cabbage, Scallions, Cilantro, Sesame Seeds, Almonds and Fried Wontons with Asian Dressing on the Side. 

Entrée 3-Vegetarian/Vegan: #2 without Chicken  

Dessert:  Circle one: Lemon Tart or Fresh Fruit Cup

These come with all meals:  rolls, coffee and tea.

This is my first luncheon as a new member: _______

SORRY, NO REFUNDS OR LATE RSVP