If ordering for more than one meal, please submit one form for each.
I plan to attend the VARP 2012 annual meeting in Williamsburg on March 3.
My lunch choice is		
Name		
Address		
City, state, and Zip		
Phone number		
E-mail address		
My check or money order for $15 for each meal is enclosed, made payable to VARP.
Return this form with your payment to
Mr. Herbert Richwine 
VARP Treasurer 
4206 Tweedsmuir Rd. 
Moseley, VA 23120