PLEASE ENTER YOUR NAME:
ENTER GUEST'S NAME, IF ANY:
MEMBER'S CHOICE:
GUEST'S CHOICE:
Click SUBMIT below
after entering all
information
P
ot Roast
Pot Roast
Shrimp
Salad
Shrimp
Salad
I AM
NOT
ATTENDING THE NEXT MEETING.
REPEAT PROCESS FOR EACH ADDITIONAL GUEST.
Remember, if you order a meal and then can't make it, you must cancel by 9pm the day before the
meeting. To change your reservation, simply come back to this form and re-submit.
Speaker:
M
ichael Beaman
Safe Inheritance Corp.
State Long Term
Care Benefits
THURSDAY,
September 2
, 2010
Cost $14
(Includes tax, tip)
Russian Mushroom
Soup
Choice of:
P
ot Roast
Or
Shrimp
Salad
Rolls and Butter
T
uxedo Cake
Coffee, Iced Tea