*  ( Make Check out to ) " Washington State Club "

 

MAIL IN RESERVATION FORM:

 

  Name: (s)_____________________________________________________

 

  eMail: _______________________________________________

 

  Phone number: _______________________________________

 

  Event:  ______________________________________________

 

  Number in Party______ # Members @: _____  # Non Members @: ______

 

 

   Amount Enclosed $___________

 

 

 

Print & Mail to .....

 

Tanna DeVisscher

13302 West Ballad Drive

Sun City West, AZ 85375