INDEX

 

GCRTA  LUNCHEON RESERVATION FORM

 

NAME:____________________Phone No._______________

Date of Luncheon: ________________

Guest:________________________________

WOULD YOU LIKE TO CONTRIBUTE TO THE SCHOLARSHIP FUND?  _______

                                                                                         Total Amt. Encl. $______________[$12.00per luncheon]

METHOD OF PAYMENT:  Please check:

[    ]  my check made out to GCRTA is enclosed.  Please DO NOT SEND CASH.

Send your check to:

GCRTA RESERVATION

Treasurer - Carol Smith, 869 Long Rd., Xenia, OH 45385 376-1840

 

 

 

 

 

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