CONTACT INFORMATION
Maria Elena Torres
Treasurer
Richard III Society
New York Metro Chapter
3101 Avenue L
Brooklyn, NY 11210
Phone: (718) 258-4607
E-Mail

Please print and fill out the form below and send it, along with your check, payable to Maria Torres, at the address listed above.

Item

Price Quantity Totals

Breakfast

$8.95 __________ $_________

Bus

$25.00 __________ $_________

Cloisters

$15.00 __________ $_________

 

$12.00 __________ $_________

Waverly

$23.00 __________ $_________

Breakfast of Chicken Capriciose

 

$29.95 __________ $_________

Pasta Primavera (Vegetarian Dinner)

 

$29.95 __________ $_________

Fresh Filet of Salmon with Fresh Dill Sauce

 

$32.95 __________ $_________

Breakfast

$8.95 __________ $_________

TOTAL

    $_________