Please use 'Print page' link at the bottom of the page, print, complete, and mail with your check as directed below. 

Ancient Universities Alumni Burns Nicht 
Saturday, January 14, 2012 at Cambridge Boat Club 
Gerry’s Landing on the Charles River 
Cambridge, Massachusetts
Reservation Deadline: Friday, January 6, 2012

This event is open to members of the Ancient Universities Alumni or Oxford & Cambridge Society of New England and their guests. Please mail your check, payable to "Oxford & Cambridge Society of NE, Inc.", with this form to:
Dr. Richard J.W. Mansfield, Reservations
225 Walden Street, Apt. 2-s
Cambridge MA 02140

You may also contact Dr. Mansfield via E-mail at: rjwmansfield@post.harvard.edu

Please note: All wine and drinks at the reception and dinner are included in the price. 

Please reserve _______ place(s) for me @ $130 each 

Total amount enclosed $ _______ 

Choice of Entrees:                   Haggis                                               _______ 
(please indicate numbers)      Roast Sirloin of Beef au Jus            _______ 
                                                   Salmon with Lemon-Caper Sauce  _______ 
                                                   Portobello Mushroom stuffed with 
                                                           Spinach and Red Peppers      _______ 

Your Name and University/College* : __________________________________
* If you are not an AUA/OCSNE member, please add the name of your sponsoring host member.
Guests and Universities/Colleges:   __________________________________
please supply contact information:
Email address :                                  __________________________________
Daytime Phone:                                 ________________________ 
Address:                                             __________________________________