BANQUET RESERVATION FORM
( Print this form, fill it out, then mail it with your Banquet payment to the address at the bottom )

June 16, 2007 - 1000 Acres Ranch Resort, Stony Creek, NY

Hors d'oeuvres at 5pm - Dinner served by professional Waitstaff at 6:30pm

Quantity   subtotal
King Cut Prime Rib ______ x $35.00 = ______
Chicken Cordon Bleu ______ x $35.00 = ______
Tilapia (White Fish) ______ x $35.00 = ______
Vegetarian ______ x $35.00 = ______
Dues (Optional) ______ x $ 5.00 = ______
"THANK YOU!!"  
TOTAL = ______

If you are interested in playing a round of golf, how many people will be in your golf party? (______)
Golf will start at 7am. There's a separate fee payable to 1000 Acres. Pay at the Club House.
+ + + + + + + + + +

NAME OF ALUMNUS:
(First, Maiden, Last)

_____________________________________
CLASS OF:

____________
MAILING ADDRESS:
(So we can send you future newsletters)
_____________________________________

_____________________________________

E-MAIL ADDRESS: _____________________________________

NAME OF GUEST(S): _____________________________________
(If your Guest(s) attended HLCS, please include
the last class year they attended HLCS)

BANQUET RESERVATIONS MUST BE
RECEIVED BY JUNE 1, 2007

Please call Carol Nelson (518-696-3729) after June 1, 2007 for ticket availability.

Make Banquet Checks Payable To:
HADLEY-LUZERNE ALUMNI ASSOCIATION
(Do NOT pay the Alumni Association for overnight accomodations, golf, or horseback riding)

MAIL THIS PAGE WITH YOUR BANQUET PAYMENT TO:

Carol Sutliff Nelson
4 Varney Street
Hadley, NY 12835