Service Above Self Dinner Reservations

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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.

Email *

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? *

Jami Anson

Dennis Bragg

Raegan Hons

Sorbello Landscaping, Steven Sorbello

TRC Auto Repair, Matthew & Sarah Bahr

I'm here to celebrate my community and Rotary, seat me anywhere.

I'm a Rotarian

How will you pay? *

I'm paying by credit card via the link on the Highland Rotary Club website momentarily.

I'm mailing a check made payable to Highland Rotary Club Foundation

Other: If you are representing a community organization, Rotary partner, or are affiliated with branch of government, please indicate your association and title.

A copy of your responses will be emailed to the address you provided.

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