North Country
Region’s Annual Banquet

 

Saturday,November 5, 2011

Cochecho Country Club

145 Gulf Rd, Dover,NH

 

Social Time &Hors D’ Oeuvres:      6:00- 7:30 PM

Dinner:                                         7:30 - 9:00 PM

Voting, etc:                                  9:00 -10:00 PM

 

 

Prime Rib

Chicken Oscar

Pan Seared Salmon

 

Please print and complete the section below, include your check made payable to: NCR-PCA and mail both to Richard Willey 16 Cogswell Ln, Atkinson NH 03811.  
Firm cut-off date for checks received is Friday October 21st. 
No exceptions due to food ordering deadlines by Cochecho CC.

 

Print Member Name:___________________________________________

PCA#: ___________________________PCA Region:__________

Address: _______________________________________________
City, State & Zip:_________________________________________________

Telephone Number:  ___________________ (day or evening)   

E-mailaddress: _____________________________

# of attendees:__________

______Prime Rib @ $38 each, ______Chicken Oscar @ $38 each, ______Salmon @ $34 each,

 

Total amt of check payable to NCR-PCA: $__________