Name *

First Name

Last Name

LWVFA Member

Yes

No, Guest

Phone *

(###)

###

####

Individual sandwich lunches will include assorted whole fresh fruits, potato chips and a cookie. Please select one: *

Roast Beef (Prepared plain-mustard and mayonnaise available)

Chicken Salad (Prepared with mayonnaise)

Vegetable Wrap (No dairy; wrap is flour tortilla)

None

Beverages to be served: Water, infused with cucumber, ice tea and lemonade.