Reservation Form

Cruise aboard the "River Rose", an original New Orleans Paddle Wheel Boat

Saturday, September 26th, 2009--------------2:00 PM to 5:00 PM

Newburgh Landing on Front Street, Newburgh NY

Menu TBA, DJ JOHN CORCORAN----Cash Bar

Reservation MUST be received by September 19th, 2009

LIMITED TO THE FIRST 150 PAID RESERVATIONS

NO Reservations Will be Accepted on the Hotline or Without Payment

Members [in good standing], their Families, Children and Guest------$35.00 each

PLEASE be dockside at 1:00 PM to receive your "Boarding Pass" and refreshments at the Bon Voyage Party. The "River Rose" will depart promptly at 2:00 PM. Don't be left "on the dock"!!!

Please Print

Members Name: ____________________________________________________

Additional Passenger[s]: ______________________________________________

Address: __________________________________________________________

Telephone: ______________Number in Party: Adults ________Children _________

Please Mail to: Orange County Shields, Box 461, Chester, NY 10918

[PLEASE print passenger names on this reservation form]