RESERVATION FORM - SpringFest 2005 Banquet -Saturday 3/19/2005

Please enter my dinner reservations for _____ persons @ $28.00 each           (for a total of $________ )

      
This year we offer a Buffet Dinner with a choice of Entrees with all the trimmings!

Name(s) ______________________________ Telephone # _______________ Lodge Name/# ___________
 
_____________________________________

_____________________________________
       
_____________________________________ 
(Please include all names so we can make everyone's "Name Tag")

Please make checks payable to "
VikingWorld Orlando 3-501"  and send it with this form to:

                                                                       Mrs. Joan Levesque
                                                                       599 Woodfire Way
                                                                       Casselberry, FL 32707-5145
                                                      or call (407) 696-2880 before Friday, March 11, 2005