Reservation Form PRINT THIS FORM AND USPS MAIL TO: GVR MICHIGAN CLUB RESERVATIONS, PO. Box 232, Green Valley, AZ 85622 PLEASE ACCEPT MY CHECK FOR THE FOLLOWING: Name(s) ________________________|______________________________ Are you a member of GVR?: NUMBERS(s) _______________ |______________ Michigan Address _____________________City___________________State_________ZIP_____________ Green Valley Address_____________________City___________________State_________ZIP_____________ Phone Number: Land Line _________________ Cell _____________________ Email Address ________________@___________________ Annual Dues $8 per Person ________ Dinner Reservations Per Person: (All reservations add $4 for non-GVR or guests) November $20.00 $_____________ December $20.00 $_____________ January $15.00 $_____________ February $20.00 $_____________ March $20.00 $_____________ April $20.00 $_____________ GRAND TOTAL (including dues and dinners) $_____________ Note: It is not necessary to pay for the entire year. Only pay for one month or any months you plan to attend, if you wish. If you have questions, please call Rita Papes at 810-985-7077 or email at rpapes@comcast.net Office use only: Check No.: ____________ Amount: ____________