Picnic Reservation Form

RESERVATION FORM

Wine Tasting, Family Picnic and Awards Ceremony

Stanford University - Saturday, July 9, 2011 Deadline for Reservation - Wednesday, July 6, 2011
(get it in the mail by July 5!)

Name(s):_________________________________ Telephone No.: (______) ________________
Please list all names (use the space below) so we can make a name tag for every member of your family, including children.

No. of adults at $17.00 ........................................._________________

No. of Children (age 4-12) at $5.00 ............................._________________

Total Amount Enclosed ..........................................$_________________

Make check payable to: Santa Clara Valley Section - ACS

Mail check and reservation form to our Section Secretary:
    Karl Marhenke
    1710 Wilshire Dr.
    Aptos, CA 95003-2836

Please check if you can volunteer: ____ I can help set up ____ I can help clean up