Bishop Fallon High Sschool
& Holy Angles Collegiate Institute
Alumni Association Hall of Fame Dinner
-- Reservation Form --
Please print, complete and return  this form with your check made out to
BFHS/HACI Alumni Association.
Mail to: Russ Gervasi, 212 Burroughs, Synder, NY 14226

Name:  ______________________________________________________

Address:  ____________________________________________________

City:  _________________________State _______ Zip _____________

Phone(s):  __________________/______________________

e-mail: ______________________________________________________

Year Graduated from Bishop Fallon__________

Menu choices: .........Check 1 for each person...

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Name _____________________________________________________
Chateaubriand (_ )... Stuffed Flounder (_ )

Total: No. ___________ Total Cost @ $45 per person: ___________

Payment Enclosed $ ______________ Check# ____________