Reservation form for A MUSICAL CHRISTMAS AT SAGTIKOS 2008

Donations are as follows. Payment and time preferences must be included with this form With reservations - Adults - $15 Senior (60 and over) & Students - $10 Children (5-12) - $5 

Without reservations - $20 at the door for all except children

Return to: Sagtikos Manor Historical Society

PO Box 183

Farmingdale, NY 11735 

Name:_______________________________ Phone________________________________ Address:_____________________________

_____________________________ Please indicate tour times in order of

preference ( 1,2,3)

Number Attending - Adult _____  11:00AM____ 11:15____ 11:30____ 11:45____ 

Senior _____  no tours 12:00 & 12:15 12:30____ 12:45____ 

Child _____   1:00PM____ 1:15____ 1:30____ 1:45____ 

2:00PM____ 2:15____ 2:30____ 2:45____ 

3:00PM____ Day attending:12/13__ 12/14___

Total Enclosed _________ (Check or M.. O.) Payable to Sagtikos Manor Historical Society

 

RAIN (OR SNOW) OR SHINE - NO REFUNDS!