RSVP TO OUR 2010 FALL EVENT   -   CLICK FOR EVENT DETAILS

   

  Kindly respond by October 6th, 2010  by mail (checks & credit/debit cards) or online (credit/debit cards) or print and fax (credit/debit cards) to 732.528.1914 - thanks!

Name(s)___________________________________________

Number of persons____will attend at $25 per person
Meal Choice - please indicate number of each:
Apricot Chicken_____ Prime Rib_______ or
Broiled Seafood Combination (Shrimp, Scallops & Filet)______ 

$_______________Enclosed - check payable to U.L.H.S.
or by Credit Card VISA MC DISC AMEX

Name________________________________________________

Number_______________________ Exp Date____ CVV_____ 

$__________authorized to charge by_______________________

Event cost partially subsidized by ULHS funds.
Your tax deductible donations appreciated. Thank you for your continued support.

Please include meal choice(s) in special instructions field.  Thanks!
You can checkout using PayPal -or- Select the option to "Pay using your Debit or Credit Card without using a PayPal account"  

Copyright 2005 - through present Union Landing Historical Society, Brielle, NJ

Any questions or submissions, please e-mail to info@briellehistory.org

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