Reservation Form
Deadline: June 4, 2010
Please enter your Name & Phone Number:
Name(s) Home Phone
Number of People
Number of Adults at $10 each = Number of Children under 12 at $5 each = Total Amount enclosed = Note: Free to PSU Students, Families, and friends. Indicate Student name and number attending
Number of Adults at $10 each = Number of Children under 12 at $5 each =
Total Amount enclosed =
Note: Free to PSU Students, Families, and friends. Indicate Student name and number attending
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