Saturday, May 12th – 11:30 AM
Palm Harbor Museum
2043 Curlew Rd., Palm Harbor, FL 34683
Please call (727) 724-3054 for more details.
$35 for members/ non members minimum donation of $45 requested.
Join us for a Mother’s Day Brunch at the Palm Harbor Museum! Lunch will be served along with complimentary mimosas (and other non-alcoholic options). Raffles and other great prizes. Let us honor those Mother’s in our lives and brunch together!
REGISTRATION FORM
NAME ______________________________________________________________ TODAY’S DATE ____________________________
# OF ATTENDEES ____________________ ADDRESS _____________________________________________________
PHONE # ___________________________ _____________________________________________________
EMAIL ADDRESS ___________________________________________________________________
PAYMENT INFORMATION:
o CHECK: Payable to “Palm Harbor Historical Society”
o CREDIT CARD: *All credit card transactions will incur a $3 convenience fee
Circle One: VISA MC AMEX DISCOVER
NAME ON THE CARD: _____________________________________________
CREDIT CARD #: __________________________________________________ EXPIRATION DATE: _____ / _____
CVV: ____________ BILLING ZIP CODE: __________________
The Palm Harbor Historical Society, Inc. is a 501(C)(3) Not-For-Profit Organization and all donations are deductible to the full extent of the IRS tax code. A COPY OF THE OFFICIAL REGISTRATION (#CH8070) AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE FLORIDA DIVISION OF CONSUMER AFFAIRS BY CALLING TOLL-FREE 1-800-345-7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.
Palm Harbor Museum
2043 Curlew Rd., Palm Harbor, FL 34683
Please call (727) 724-3054 for more details.
$35 for members/ non members minimum donation of $45 requested.
Join us for a Mother’s Day Brunch at the Palm Harbor Museum! Lunch will be served along with complimentary mimosas (and other non-alcoholic options). Raffles and other great prizes. Let us honor those Mother’s in our lives and brunch together!
REGISTRATION FORM
NAME ______________________________________________________________ TODAY’S DATE ____________________________
# OF ATTENDEES ____________________ ADDRESS _____________________________________________________
PHONE # ___________________________ _____________________________________________________
EMAIL ADDRESS ___________________________________________________________________
PAYMENT INFORMATION:
o CHECK: Payable to “Palm Harbor Historical Society”
o CREDIT CARD: *All credit card transactions will incur a $3 convenience fee
Circle One: VISA MC AMEX DISCOVER
NAME ON THE CARD: _____________________________________________
CREDIT CARD #: __________________________________________________ EXPIRATION DATE: _____ / _____
CVV: ____________ BILLING ZIP CODE: __________________
The Palm Harbor Historical Society, Inc. is a 501(C)(3) Not-For-Profit Organization and all donations are deductible to the full extent of the IRS tax code. A COPY OF THE OFFICIAL REGISTRATION (#CH8070) AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE FLORIDA DIVISION OF CONSUMER AFFAIRS BY CALLING TOLL-FREE 1-800-345-7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.
