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Road Rally Reservation Form
Reservation Form ‘MUST’ be returned by November 8, 2019
Send a completed form and check made payable to: ‘Delhigh Power Squadron’
Send to:
Questions:
P/C Michael Lebeduik, III, JN
Cell Phone: (610) 730-2798
3514
Nicholas St.
Email: TJA.ML3@verizon.net
Easton, PA 18045
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# Of people attending: _______ # Of children under 10 years old: _____
(Children under 10 yrs. old -- $20.00)
# Of cars participating: _______
Is this your first “Road Rally” with Delhigh? YES ______ NO ______
Your Email: _______________________________
If a USPS Member
Squadron Name: ______________________________
Your Phone #: ___________________________
NAME of individuals in car: Driver: ______________________________________________________
Navigator: ______________________________________________________
Crew: ______________________________________________________
_______________________________________________________
Menu will be:
Please choose one per person:
Scallops – Pan seared in fennel lemon sauce: ..........…………... ______x 38.00 = $ ________
(Served with penne}
Veal Parmesan, served with a side of pasta: ……………………... ______x 35.00 = $ ________
Roast Duck: ……………………………….................................................. ______x 38.00 = $ ________
(Roasted in a honey glaze until crispy & golden brown)
Total: $_________
Salad
Rolls with Butter
Regular and Decaf Coffee, Hot Tea and Soda
Chefs Choice of Vegetables Dessert
*(Alcoholic Beverages are on your own tab.)
COME AND ENJOY THE DAY!!!!
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