University Women's Club Reservation Form
Date of UWC Luncheon _________________________
YIOUR Name ________________________________________
FC # _________________fax:292-1144
Please name and circle affiliation:
Guest/Mbr ____________________________________
Guest/Mbr ____________________________________
Guest/Mbr ____________________________________
Dietary restrictions: ____________________________
Number of diners: _____________x $11=$__________
Check No. _____________________Total $__________
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