A Hawaiian Fusion Seafood Dinner

Event: 3 June 2012

Reservation Form

*Please print this form and mail it with your check payable to “Chaine des Rotisseurs” to:

Terry Phillips-Seitz,
Baltimore Bailliage,VCA
953 Sevarden Lane
Crownsville, Maryland 21032

Member’s Name           ____________________________________________

Member’s 1st guest       ____________________________________________

____________ @ $ 95.00 each = $____________

Additional guest(s)   ____________ @ $105.00 each = $____________

Additional Guests’ Names:

____________________________________________

____________________________________________

TOTAL ENCLOSED                  $____________

Please send your payment by May 26th.

*You also can pay online (see your invitation for the link).