CENTRAL STATES ASSOCIATION OF SHRINE MOTOR CORPS

MID-WINTER MEETING EVENTS ORDER FORM 2004

Thursday April 8 Dinner at Emil-Lene's Steak House
(Please indicate number interested)

Friday April 9  1:30pm Tour Molly Brown House
(Ladies only - includes transportation)
Number attending____@ $6.50 per person $_______

Friday April 9  5-10pm Shuttle to Black Hawk Casinos
(Dinner on your own)
Number attending____@ $10.00 per person $_______

Saturday April 10  9:15am Trip to Celestrial Seasonings Tea Co.,
lunch at The Boulder Dushanbe Teahouse, shopping on the Boulder Pearl Street Mall
and returning to hotel by 4pm.  Costs include tour lunch and transportation.
Number attending____@ $35.00 per person $_______

Saturday April 10  Banquet and Installation of Officers
5:30-6:30pm social hour (cash bar)
Dinner at 6:30 followed by Installation

Chicken Florentine - No. Dinners____@ $32.00 per person $_______
Spinach & Cheese filled chicken with a Basil Cream Sauce, served over Risotto accompanied by a vegetable medley. 

Pan Seared Salmon - No. Dinners____@ $32.00 per person $_______
Served with Spicy Pomodoro Grilled Polenta & roasted Peppers.

Fennel Crusted Pork Chops - No. Dinners____@ $37.00 per person $_______
Served with Roasted Root Vegetables & Potatoes Jus Lic & Caraelized Onions. 

All dinner Entrees are served with Mandarin Salad, Crisp Field Greens with Mandarin Oranges, Strawberries & Almonds, Dressed in Raspberry Vinaigrette.  Dessert is Fruit De Bosco, Forest Berry Fruit with Pastry Cream.  Coffee and Tea is included.

TOTAL AMOUNT ENCLOSED  $_______

Please Send this form to:

Noble Charles Petersen
President C.S.A.S.M.C.
2237 South Flower Court
Lakewood, CO 80227