Sunday, April 14, 2019
Holland America - Niew Statendam - Ship Luncheon
Chaine Chic Attire / Jacket & Tie with Ribbons
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Miami Chaine • Niew Statendam • Holland America Cruise Luncheon • Sunday, April 14, 2019

* RSVP before APRIL 5, 2019 *

* Email-Fax-Scan this form with payment * See below for Check payments*

PHOTO ID REQUIRED TO BOARD SHIP

Please update 2019 local & national dues before you RSVP.

   $110.00 per person --- 1 Miami Chaine Member & 1 Guest (2 Miami Chaine members)
   Member __________________________________________________ Cell# ______________________ DOB _________________
   Nationality _________________ License OR Passport__________________________________________ Expiry ______________
   Member __________________________________________________ Cell# ______________________ DOB _________________ 
   Nationality  _________________ License OR Passport__________________________________________ Expiry ______________


   $125.00 per person --- ALL Guests (Non-Miami Chaine members)
   Guest ____________________________________________________ Cell# ______________________ DOB _________________ 
   Nationality  _________________ License OR Passport__________________________________________ Expiry ______________
   Guest ____________________________________________________ Cell# ______________________ DOB _________________ 
   Nationality  _________________ License OR Passport__________________________________________ Expiry ______________

 For CHECK Payments - EMAIL me that you plan to attend w/above information.
Snail mail delivery may impact your RSVP reaching me in time!
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Payable to: Chaîne des Rôtisseurs (before deadline - NO Exceptions)
Mail to: Bailli Nancy Radlauer, 2800 Island Blvd # 1601, Aventura, Florida 33160 
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