To reserve a spot for this event, print out this PDF form or use the form below.
Reservation Form -- A Winter Celebration in Birchrunville
I/we would like to attend the HBNA Winter Celebration:
Name(s): ____________________________________________________________
Address: ____________________________________________________________
Email: ______________________________________________________________
Number of attendees ____ x $75 = $ ______
Additional Donation to HBNA: $ ______
Total Amount Enclosed: $ ______
Please make checks payable to Historic Birchrunville Neighborhood Association.
Return completed form to:
John Eldridge, Treasurer HBNA
P.O. Box 202
Birchrunville, PA 19421