TEST Luncheon Reservation Template test "*" indicates required fields Step 1 of 2 50% To 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 Luncheon Reservation* Member Reservation Add A Guest to My Existing Reservation Non Member Reservation Reservation InformationName* First Last Phone*Will You Be Using a Luncheon Voucher? No Yes No EmailCheck the box below if you do not have email No Email Your EmailPlease enter your email address. Enter Email Confirm Email Diet Restrictions:Gluten FreeMenu Selection* Entrée 1 - Entrée 2 - Entrée 3 - This Month's Dessert: Seasonal Fruit Cup Will you be bringing a guest? No Yes 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.Member's Name* Guest Name* Guest First Guest Last Guest Phone*Guest does not have Email No Email Guest's Email Enter Email Confirm Email Guest Diet RestrictionsGluten FreeGuest Menu Selection* Entrée 1 - Entrée 2 - Entrée 3 - Guest Dessert:* Seasonal Fruit Cup PaymentNo Refunds or Late RSVP's and No Substitutions at LuncheonsPayment InformationForm of Payment* Credit or Debit Card Check Luncheon Cost Price: Guest 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, 9609 Gretna Green Dr. Tampa, FL 33626 Billing InfoYour Name as it appears on credit card First Last Address* Street Address City 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 State ZIP Code PhoneThis field is for validation purposes and should be left unchanged.