Tuesday, October 15, 2024 – Doors open 10:30 A.M.Cyprus Run Club- 954 East Lake Dr. Tarpon Springs, FL 34688 October 2024 Luncheon "*" indicates required fields CAPTCHATo reserve a seat and food payment must be received no later 10 days prior to the luncheon. The Luncheon Cost is $25.00 per person Type of Reservation* Member Guest/Visitor Name* First Last Your Email I don't have Email No Email Phone*Guest of: Diet Restrictions:Gluten FreeMenu Selection* Entrée 1 -Meatloaf Gravy, Mashed Potatoes and Corn Entrée 2 -Spring Salad, grilled chicken, Apple, Cranberries, Goat cheese, Walnuts, Raspberry Vinaigrette Entrée 3 -Salad with out Chicken Dessert: Flourless Chocolate Torte Fruit Cup Will you be bringing a guest? Yes No Guest Information We are excited that you will be bringing a guest to the Luncheon. Please remember to have them complete the necessary guest waiver form which is located under the Activities Tab of the website. We are excited that you will be bringing joining us for this luncheon. Please complete the guest waiver form which is located under the Activities Tab of the website.Guest Name* First Last Phone*Diet RestrictionsGluten FreeVegitarianVeganMenu Selection Entrée 1 -Meatloaf Gravy, Mashed Potatoes and Corn Entrée 2 -Spring Salad, grilled Chicken, Apple, Cranberries, Goat cheese, Walnuts, Raspberry Vinaigrette Entrée 3 -Salad with out Chicken Dessert: Flourless Chocolate Torte Fruit Cup PaymentNo Refunds or Late RSVP’s and No Substitutions at LuncheonsForm of Payment* Credit or Debit Card Check Luncheon Voucher Member Cost Price: Guest / Visitor Cost Price: Voucher Price: Total Due Payment by check or voucher is due within seven days of the reservation Make checks payable to: Palm Harbor Newcomers Club (PHNC) Mail to: Palm Harbor Newcomers Club Attn: Luncheons, 3446 Killdeer Place, Palm Harbor FL 34685 Billing InfoPayment MethodCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneThis field is for validation purposes and should be left unchanged.