Reservation Form For 12/8/18 Holiday Party

Reservations must be made by 12/01/2018


Name of person(s) attending Age if under 18 Adult/Teenager Child (5-12) Child (4 and under)

Number of People

   Number of Adults at $18.00 each = 
   Number of Children ages 5 to 12 at $10.00 each = 

   Number of Children age 4 and younger at $0.00 each = 

                      Enclosed is my check for $

MAKE CHECKS PAYABLE TO PENN STATE CHAPTER OF NORTH TEXAS

MAIL TO: Chris Baldovsky (address can be found in the NTPSU directory)

or send an e-mail to: psu.club@verizon.net for address info