Reservation Form -- Deadline: January 08, 2010 -- First Come First Served
Please enter your Name & Phone Number:
Name Home Phone
Number of People
Number of people at $26 each = Number of people at $20 each = Total amount =
Number of people at $26 each =
Number of people at $20 each =
Total amount =
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