PALM HARBOR NEWCOMERS CLUB
PHNC Luncheon Reservation Form

Must Be Mailed by Friday, December 20, 2018
Please mail this form with checks 
(including guest checks) payable to PHNC

Mail to:  

Marcia Riley
3201B Charter Club Drive
Tarpon Springs, FL 34688
727-560-4295

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 - Baked Ham with Pineapple, Scalloped Potatoes and Glazed Carrots.
Entrée 2-Gulf Shrimp on Greens with Avocado, Cucumber, Carrots, Celery, Cherry Tomatoes with Remoulade Sauce
Entrée 3-Vegetarian:  Greens, Avocado, Carrots, Cucumber, Cherry Tomatoes, Cheese, Egg and Kidney Beans.
Vegan: Same as Entrée 3 without the Egg and Cheese
Dessert:  Circle one: Strawberry Cheesecake or Fresh Fruit -
These come with all meals.
This is my first luncheon as a new member: _______

SORRY, NO REFUNDS OR LATE RSVP