Annual
Steak & Chicken Fry

Saturday Sept 2nd, 2017 - Begin at 5:00p

Dinner Reservations

To make dinner reservation (s), please fill out the form below, PRINT twice, mail one copy with your payment to the address below, keep one copy for your records.

Please call 309-236-3657 to confirm/validate or if you have any questions.
You can also email your reservation by providing the information below and email to:

SandyKing@mchsi.com

Steak & Chicken Fry Order Form

 
Name:
 
Date Filled Out/Mailed:
 
Address:
   
 
City:
 
   
 
State:
 
   
 
Zip Code:
 
 
 
Phone:
 
   
 

Email:
(valid email required)

 
   
 
How Many Steak:
 
$20.00 per plate  
 
How Many Chicken:
 
$16.00 per plate  
 
   
NEW PAY PAL OPTION: Steak and Chicken Fry
 

Mail To:

Five Season Cluster
% Steak/Chicken Fry
6708 92nd Avenue West
Taylor Ridge, IL 61284

 
 STEAK
QUANTITY
 CHICKEN
QUANTITY



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