Registration Form – St. David’s Day Lunch & Seminars, Feb. 28, 2009
RESERVATION FORM & PAYMENT MUST BE RECEIVED BY FEBRUARY 23, 2009
Your name __________________________________________________________________________
Address __________________________________________ City _____________________________
Zip________________ Phone ______________________ E-mail ___________________________
Please use bottom part to list name and meal choice for everyone included in the reservation
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Meal reservations
____ over 21 – Quiche Lorraine @ $22 each = $______ ____ over 21 – Vegetarian Quiche @ $22 each = $______ ____ 13-21 – Quiche Lorraine @ $12 each = $______ ____ 13-21 – Vegetarian Quiche @ $12 each = $______ ____ under 13 – Quiche Lorraine @ $10 each = $______ ____ under 13 – Vegetarian Quiche @ $10 each = $______
Total for meals = $_________ |
Seminar reservations (no fee for those under 21 years old)
An Insider’s Look at Wales 10-10:50 am ____ attendees @ $5 each = $______
Y Wladfa Heddiw: Contemporary Welsh Language and Lore in Patagonia 11-11:50 am ____ attendees @ $5 eac = $______
Total for seminars = $_________ |
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Grand Total – meals $_________ + seminars $_________ + donation $__________ = $_____________ |
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A check payable to WSCO and this form must be received by February 23, 2009.
Mail to: Mary Ellen Morgan, 1963 Wickford Road, Columbus, OH, 43221-4221; (614) 488-0007
Because food choices are specific to each person, please print the names of all people included in your reservation and indicate one entrée choice and age bracket for each.
(meal description is on page 1 of the newsletter)
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Name |
Quiche choice |
Age Bracket |
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Lorraine |
Vegetarian |
Over 21 |
13-21 |
Under 13 |
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