GATHERING OF THE CLAN LUNCHEON - FRIDAY, MARCH 17, 2017 - THE RIVER CENTER, DAVENPORT

Reservation Form (print and mail)

Menu:  Traditional Corned Beef and Cabbage,  Herb Crusted Tilapia,  Roasted Baby Potatoes, 
             Cole Slaw, Fruit Salad, Rolls, Coffee, Iced Tea, Water, Full Cash Bar

Contact: Vic Quinn at 563-322-7505 or email to .... with questions.

NAME_____________________________________________________________________________________________________

ADDRESS__________________________________________________________________________________________________

CITY_____________________________________________________STATE______________ZIP___________________________

PHONE______________________________________E-MAIL________________________________________________________


Indicate the number of dinners ___________________   Please include the names of everyone in your party on the back.

$20 with advanced reservation, $25 at the door
Pre-payment must be received by noon on March 13
Make checks payable to St. Patrick Society

TOTAL REMITTANCE
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Please mail this order form and your check to:
St. Patrick Society of the Quad Cities
Attn. Gathering of the Clan Luncheon
PO Box 4487
Davenport, Iowa  52808