| Name: ______________________________________________________
Address: ____________________________________________________
City: _________________________State _______ Zip _____________
Phone(s): __________________/______________________
e-mail: ______________________________________________________
Year Graduated from Bishop Fallon__________
Menu choices: .........Check 1 for each person...
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Name _____________________________________________________
Chateaubriand/Chicken Francaise (_ )... Stuffed Flounder (_ )
Total: No. ___________ Total Cost @ $50 per person: ___________
Payment Enclosed $ ______________ Check# ____________ |