RESERVATION REQUEST FORM
(Print this form, then mail with payment by March 14)
Name: _________________________________ USMA Class: ____________
I will have a total of ________ persons attending the Founder’s
Day Dinner. Enclosed is a check covering the cost ($30) for each attendee.
My meal choice is : _____ A - Roast Prime Rib of Beef Au
Jus
_____ B - Chicken Breast Frommage
Guest: _________________________________ Meal
Choice: _________
Guest: _________________________________ Meal
Choice: _________
Transportation Assistance:
_____ - I need a ride to the Founder’s Day Dinner. My phone number
is ________________________ .
_____ - I can offer a ride to the Founder’s Day Dinner. My phone number
is _____________________ .
Please make check payable to : West Point Society, FWC and
mail, prior to March 14th, along with this form to:
LTC(Ret) Tom Powers phone: 886-1935
7533 Armand Circle work: 828-4266
Tampa, FL 33634
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