Tuesday, January 21, 2025 – Doors Open 10:30 AMCypress Run Club – 994 East Lake Drive, Tarpon Springs, FL 34688 January 2025 Luncheon January 21, 2025, Cypress Run Country Club, 994 East Lake Drive, Tarpon Springs, FL "*" 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 No Email I don’t have email Phone*Guest of:Diet Restrictions:Gluten FreeMenu Selection* Entrée 1 – Coq Au Vin – Chicken in wine, mushrooms, potatoes, and haricots verts beans Entrée 2 – Nicoise Salad w/ flaked tuna, greens, potatoes, eggs, tomatoes, olives w/dill vinaigrette Entrée 3 – Vegan/Vegetarian, same entrée #2 w/o tuna and egg Dessert: French Apple Pastry 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 Guest Phone*Diet RestrictionsGluten FreeMenu Selection Entrée 1 – Coq Au Vin – Chicken in wine, mushrooms, potatoes, and haricots verts beans Entrée 2 – Nicoise Salad w/ flaked tuna, greens, potatoes, eggs, tomatoes, olives w/dill vinaigrette Entrée 3 – Vegan/Vegetarian, same entrée #2 w/o tuna and egg Dessert: French Apple Pastry 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 NameThis field is for validation purposes and should be left unchanged.