Ladies Appreciation
Reservation Form


Saturday, February 17th
6:30pm

Reservations Required - No ticket sales at the door

Please fill in the blanks, using your tab key to move between fields.
Type first and last name(s) of each person you are making a reservation for.

 

Name
Address
Address
CityState ..Zip -
Phone( ) .Email

Use box for additional reservations or to
Send a comment to
1st Chieftain Ian Purvis


Entree Selection

Indicate the number of each entree: Prime Rib . Chicken Stuffed W/Artichokes Vegetarian



Price

Indicate Number of Reservations Men...............................$45.00
Ladies...........................No Charge




To process your reservation press Submit