Holiday Party – 2010
Name (1):      Member Number:

Name (2):      Member Number:

Street Address:

City:     State:     Zipcode: -

Phone:      E-mail Address:

Member Entree (1):         Chicken Maurice         Orange Roughy        

Member Entree (2):         Chicken Maurice         Orange Roughy        

Guest 1 Entree:         Chicken Maurice         Orange Roughy        

Guest 2 Entree:         Chicken Maurice         Orange Roughy        

Please write your guest’s name(s) on the back of this coupon.





Mail your coupon a check (payable to “PSC”) and a self–addressed, stamped envelope to:

Judi Astorino, 147 Pennsylvania Avenue, Bridgeville, PA. 15017



                       

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