September 24, 2016 Cocktails 6pm Dinner 7pm Dancing 8:30pm $75 per person
Reserve your table of 8 for $550
Please seat us with (please print legibly):
Please list number and ages of children:
Keepsake 75th Anniversary Christmas Ornaments are available for $15 and can be purchased with this form.
Additional Donation: $_____________________________
Check number and TOTAL amount:_________________________________________________