Alpenrose Picnic Reservation Form

I will attend the Alpenrose Picnic On Saturday, September 8, 2007

__________Member(s) @ $4.50 each $___________

__________Guest(s) over 12 @ $ 6.75 each $___________

__________Children ages 6-12 @ $ 3.00 each $___________

__________ children under 6 Free

Total $___________

Name___________________________________________________

Address_________________________________________________

Phone number____________________________________________

Return with check to: Edie Heindel, 2106 Hershey Ct. ,York, Pa. 17404-1768

Deadline is September 1^st. 2007