Have questions? We will answer them! Contact Us Please complete the form to get in touch. "*" indicates required fields CAPTCHAYour Name* First Last Your Email* Your Phone*What are you contacting PHNC about?*Please select oneMembershipLuncheonsTripsHospitalityPaymentsPHNC WebsiteSuggestionUpdate My InformationActivitiesHospitalityRequest a Thinking of You Card be SentOtherMessage to MembershipSubject:* Message:*Message to LuncheonsReason for contacting Luncheons*Please select oneChange My Menu SelectionChange my Guests Menu SelectionAdd GuestOtherMessage*Please detail your request. Please Note menu changes will NOT be accepted after the Luncheon reservation deadline. The deadline is the first Friday of the month.Member Menu Change*Change my menu to:Please choose one:Entrée 1Entrée 2Entrée 3Guest Menu Change*Change my guest's menu to:Please choose one:Entrée 1Entrée 2Entrée 3Guest InformationGuest Name* First Last Guest Email* Guest Menu Selection*Please choose one:Entrée 1Entrée 2Entrée 3Guest Luncheon Price: Form of Payment Credit Card Check Total Total Due A guest waiver form is required. Your guest may access this form on the home screen under Join . Please have your guest submit this as soon as possible. Thank you the PHNC BoardPayment is due within seven days of registration. Make checks payable to: Palm Harbor Newcomers Club (PHNC) Mail to: Pat Salvior, 2412 Forecastle Dr Palm Harbor, FL 34685 Update Member InformationWhat do you want to update?*Please check all that apply Name Phone Address Email Other Name update First Last Phone updatePrimary Phone Home Cell Alternate Phone Home Cell Address change Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email change Other Information UpdateMessage to TripsWhy are you contacting PHNC Trips?*Please select oneExisting TripSuggest a TripOtherInformation on an Existing Trip*Please Choose the tripRingling Museum TripOtherSuggested Trip* Your question regarding the selected trip:*Please detail your request.Message to TripsMessage to Activities ChairSelect an Activity:*Arts and AntiquesBook ClubsBuncoCanastaCasual BridgeCouples Dining OutCouples Supper ClubGardening GalsHand and FootIntermediate BridgeLadies Night OutLunch and a MovieLunch BunchMah Jongg MinglersSingles Potluck SupperTwo Can Dine for $39Wine Club for CouplesOtherNote: Book Clubs are limited participation and may be closed to new members.Your Interest in this Activity*Please select one:JoiningCoordinatingForm a Book ClubSuggesting an ActivityOtherSuggested Activity*Please tell us what activity you are suggesting: OtherMake a SuggestionTell us about your SuggestionBriefly describe your sugestionMessage to TreasurerThis is regarding:*Please select your form of payment. 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