Service Above Self Dinner Reservations
Friday, June 7 • Casa Milanese, Highland, NY 

To register online, please follow these instructions carefully. 
1. Complete this form
2. After submitting this form, send payment of $45 each by either: 
     Online: go to www.highlandrotaryclub.com and submit your online payment
     By Mail: Send check made out to Highland Rotary Club Foundation to PO Box 723, Highland, NY 12528

RESERVATIONS AND PAYMENTS NEEDED BY MAY 29

IMPORTANT: All payments are needed by deadline for reservations to be confirmed. 

Please note that we commit to a headcount, therefore we are unable to refund no-shows or cancellations after the registration deadline. 

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Correo electrónico *
Name of person making the reservation *
Phone number  *
Number of people in your party *
Please list names of all individuals in your party (tables seat 8 comfortably but no more than 10) *
So we know how to plan seating, please select the honoree whom you are celebrating? *
How will you pay? *
Other: If you are representing a community organization, Rotary partner, or are affiliated with branch of government, please indicate your association and title. 
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