2009 Banquet Reservation Form

First Name: Last Name:

Phone:

Names of People making reservations:

, , , , ,

Total Number of Adult Reservations:

Type of Credit Card :

Credit Card Number : Expiration Date:

Total to Charge Card: $

E-mail Address:

I understand that there are no refunds on Banquet Reservations:

If you are mailing this Form, please send to:

NASA Banquet, P.O. Box 735, Noble, OK. 73068

* After you submit this form, copy and save your confirmation that appears.