Reservation Form -- Limited number of tickets available and first come, first served
Please enter your Name & Phone Number:
Name Home Phone
Number of People
Number of people 13 years old and over at $17 each = Number of people 12 years old and under at $14 each =
Number of people 13 years old and over at $17 each =
Number of people 12 years old and under at $14 each =
MAKE CHECKS PAYABLE TO PENN STATE CLUB OF NORTH TEXAS
MAIL TO: Judy Micklow (address can be found in the NTPSU directory)
or send an e-mail to: psu.club@verizon.net for address info