Cambrian Heritage Society’s

Celebration of St. David  / Dathliad Dewi Sant

Sunday, March 14th 1:00pm, St. Paul Lutheran Church

RESERVATION FORM

Family Name(s)__________________________________________________________

 Address_________________________________________________________________

 City__________________ State______ Zip code______________

 Telephone number_______________________________________

 E-mail address__________________________________________________________

Luncheon entrée choices:

 ______ Corbin Family Farm Roast Leg of Lamb @ $15.00 = _______________

 ______ Stapleton Family Farm Roasted Quarter Chicken  @ $13.00 = _______________  

               Indicate Choice and Number, if applicable :          _______Breast      _______Thigh

 _______ Vegetarian Baked Tofu with Dijon Bernaise Sauce @ $12 .00 = _______________

  Total enclosed for meals: ______________________________

Please make checks payable to Cambrian Heritage Society.   Send this form with your check as soon as possible - must be  received no later than February 13th, 2010 to:

Rev. Joe Corbin

330 Second Street

Reedsburg, WI 53959

608-393-8548 cell

608-524-8404 home