Reservation Form - Scholarship Fashion Show, Luncheon & Fundraiser
Belleair Country Club
1 Country Club Lane, Belleair, FL 33756
March 18, 2025—10:30 AM to 2:30 PM
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Must complete this Lunch Reservation form for all reservations.
To make your single reservation, request seats with friends or a full table of 8 or 10, the Host Member MUST complete this form. We will do our best to accommodate your request, but requests will be on a first come, first serve basis so the earlier you get your reservation in, the better we will be able to accommodate you.
Please list the name of each person that is sitting at your table, their entrée choice and mark if they paid by check or online by credit card. This form is easier to read on a computer.
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You can pay by CHECK or CREDIT CARD. You can include all checks for your table's lunch or they can mail their luncheon check separately to Island Estates Women's Club, IEWC—Island Estates Women's Club, 140 Island Way Clearwater, FL 33767 or pay on-line.
Host Member ___________________________________________________ (circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check _Credit Card GF
Member/Guest 2 _________________________________________________ (circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check Credit Card GF
Member/Guest 3 _________________________________________________ (circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check Credit Card GF
Member/Guest 4 _________________________________________________ ( circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check Credit Card GF
Member/Guest 5 __________________________________________________ (circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check Credit Card GF
Member/Guest 6 ___________________________________________________ (circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check Credit Card GF
Member/Guest 7 __________________________________________________ (circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check Credit Card GF
Member/Guest 8 _________________________________________________ (circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check Credit Card GF
Member/Guest 9 ___________________________________________________ (circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check Credit Card GF
Member/Guest 10 _________________________________________________ (circle one below)
Mediterranean Chicken Bourbon Salmon Pasta Primavera Vegan Plate Check Credit Card GF
Members--$45.00 Guests--$45.00 Number Attending ____ Total Enclosed $_____
Note:
* If you are sitting at someone’s table and you are NOT the host, please do NOT complete the form. Just let the host member know what you are eating and give her your check or let her know you registered online. You may register online, send or mail check to Island Estates Women's Club, 140 Island Way Clearwater, FL 33767. Please include hosts name on the form and if possible on each check.
* We cannot refund money for cancelled reservations after the deadline because of our commitment to the venue providing our luncheon or program. For questions, please call Reservation Chair Karin Stewart at 727-452-5167.
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Phone Number: ________________ eMail: ___________________________________
​Instructions for Mailing in Reservation Form with your Check or Checks
Please make checks payable to: Island Estates Women’s Club Send to:
IEWC—Island Estates Women's Club, 140 Island Way Clearwater, FL 33767
Reservation Deadline is Wednesday, March 12th at 12 Noon.
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To PRINT lunch reservation form - Control + P
