Professional Documents
Culture Documents
Evening includes: Hors d’oeuvre, Strawberry & Mandarin Orange Salad, Dinner Rolls,
Green Bean Almandine, Roasted Red Potatoes,
Stuffed Chicken Breast with Cream Sauce and Special Dessert
Champagne Punch (Non-Alcoholic – may BYOB)
Chocolate Fountain with a Variety of Dipping Treats
Plus, a Red Ribbon Handmade Rose & Box of Homemade Truffles per couple
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Name: ____________________________________________________________________________________________________
Address: __________________________________________________________________________________________________
City: _______________________________________________ State: ________________________ Zip Code: _______________
Phone; _____________________________________________ Email: _________________________________________________
Number of Reservations: _______ • Total cost at $40 per person = $ ________ • Check #: __________________ or
Credit Card #: ___ ___ ___ ___ — ___ ___ ___ ___ — ___ ___ ___ ___ — ___ ___ ___ ___
Expiration Date: ___ ___ / ___ ___ / ___ ___ ___ ___ • Security Code: ___ ___ ___
Special Dietary needs if applicable: ____________________________________________________________________________
Mail to: Historic Lyme Village, P. O. Box 342, Bellevue, OH 44811 or call (419) 433-2220