| Name: |
__________________________ |
|
|
| |
| Address: |
__________________________ |
|
|
| |
| City: |
________________ |
State: _______ Zip: _________ |
| |
| Phone # |
_________________________ |
|
|
| |
|
|
|
|
| Dinner Choice: |
Chicken |
|
|
| |
|
Beef |
|
|
| |
|
Vegetarian |
|
|
| |
| Table Preferance: |
With whom would you like to sit. |
| |
|
_____________________________ |
|
| |
| |
Reservations will be accepted on a first-come, first-served
basis. No monies will be accepted after February 28, 2009. Due to
fixed costs, there will be no refunds after March 1, 2009. |
|
| |
Checks in the amount of $100.00
per person may be made out to
Edelweiss-Passaic Inc. |
| |
Please print this form and send
along with your check to: |
| Barbara Walter |
| 550 Park Ave. |
| Paterson, NJ 07504 |
|