form

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

Reservation Request

Spring Dinner at the Algonquin Club
Saturday March 17, 2012 at 6 pm

Reservation Deadline: Friday, March 9, 2012

This event is open to members of the Oxford and Cambridge Society of New England, Inc. and their guests.  Non-current members, who are not guests of members, please add $20 ($5 full-time students) for membership in the Oxford and Cambridge Society.

 Please noteAn elegant buffer dinner with wine is included in the price. There will be a cash bar at the reception (water & sodas free).

 Please reserve _______ place(s) for me @ $55 each

 Membership dues (if applicable)  $ _______                       

 Total amount enclosed                   $ _______

  

            Name: ____________________________   College: _____________________

            Street Address: ____________________   Daytime Phone: _______________

            City/State/Zip: ______________________  Evening Phone: _______________

Guests and Colleges, if applicable____________________________________

Please complete and return this entire page together with a check for the total amount payable to Oxford and Cambridge Society of New England, Inc.and mail to:-         

Dr. Richard J.W. Mansfield, Reservations
225 Walden Street, Apt. 2-s
Cambridge MA  02140

E-mail: rjwmansfield@post.harvard.edu