American-Austrian Society Home Page

Please print this form. Deliver the completed form to arrive by December 8 with a check made out to the American-Austrian Society for the appropriate amount to:

Dr. Carol Traxler, 5817 Runford Drive, New Carrollton, MD 20784.

Name(s) on official photo I.D. you will show for entrance to Fort Myer:

________________________________________________
________________________________________________
Name(s) as you wish them on the place cards (if different from above):

________________________________________________
________________________________________________
Telephone (H)____________________ (O) _____________________
E-mail: ________________________________________________
Address: ________________________________________________
____________________________________________________________
Number of reservations requested:
Current American-Austrian Society members ($80)_____
Non-members ($85)______
Meridian Viennese waltz class ($80) ________

Dinner selection: (give names if not selecting same menu)
Menu A (Petite Filet and Herb Chicken) _______
Menu B (Vegetarian) _________

To help in our planning of beverage availability, please indicate which beverage(s) you tend to prefer:
Regular soft drinks___       Diet soft drinks___      Water___      Juices___    
Red wine___     White wine___     Blush wine___

Seating preference. Please seat me with
___________________________________________________
Singles table: ___     Meridian Viennese waltz class: ___

Total enclosed for the Christmas Ball: $______.
Make checks payable to the American-Austrian Society.