Paseo Alliance Luncheon Reservation
January 23, 2012 at 11:30 am

NAME(S): (First, Maiden, Last)

Class Year

Address, City, State:

Elementary School Attended:

Phone:

E-mail address:

Entrees include House salad, dessert, iced tea or coffee, rolls and butter.  Cost includes tax and gratuity.

Cost: $16.00 per person.
Send your check, payable to Paseo Alliance, and this form to:

THE PASEO ALLIANCE
LINDA WEED VANSLYKE
3905 W. 132ND STREET
LEAWOOD, KS  66209