Fun Night will begin with a Bus ride from  Cheyenne Mountain Resort to
Iron Springs Chateau at approximately  4:30 P.M./ Returning by Bus at end of the show.
(One Form per Person)
Deadline- 10 September 2018



City:_____________________________  State/Province: ___________ Zip: _________

**** I WILL REQUIRE HANDICAP ASSESSABILITY to the Theater / Bus:        YES___  NO:___
           (there are stairs from Dinner to the Theater area-Handicap access is available)

CASH BAR  opens at 5:30 P.M.  
Choice one of the following:
            ___ Slow Roasted Beef Pot Roast
            ___ Herb Roasted Chicken Breast
            ___ Baked Salmon
            ___ Veggie 
                    (Broccoli, Yellow Squash, Zucchini- Vegetables with cream sauce)

Special Dietary Requirements:   Celiac: ______   or   Gluten Free:______                                                                         

COST OF THE EVENING: Meal/Show/Transportation - - - - - - - - - - - - - - - - - - - - - - -  $60.00

Make Checks payable to: Colorado Testimonial 2018
                      Mail to: CO- I.O.O.F. Testimonial Committee 

                                               1545 Phelps Ave
                                     Canon City, Colorado  81212​


Iron Springs Chateau
Melodrama  Dinner and Theater

 Thursday  Evening

October 25, 2018

                    Iron Springs Chateau                 Melodrama  Dinner and Theater
 Thursday  Evening
 October 25, 2018


Colorado I.O.O.F. Testimonial          


                                                     25-27 October 2018 Testimonial Weekend
                                                                          In Honor of
                  The Honorable Douglas E. Pittman   &   Lady President Michelle Jones
                            Sovereign Grand Master                  International Association Ladies
                                                                                                Auxiliary Patriarchs Militant

                   REGISTRATION FORM (one per person)    Deadline is: 10 September 2018
NAME: ___________________________________     Title/ Rank: _________________________
Address: _________________________________      Phone: ____________________________
             __________________________________      Email: ____________________________
City/State/Provence: _________________________________     Zip +4 ____________________
Branch/Unit & Jurisdiction Representing: ______________________________________________

                                                                                                                            [Please Mark which attending]
MENU FOR FRIDAY EVENING IALAPM President Michelle Jones:                                                
BLT Salad: (Applewood smoked bacon served as garnish for iceberg lettuce wedge/hardboiled egg/
                      grape tomatoes/carrot shoestrings and buttermilk Ranch dressing) 
Grilled Chicken Breast paired w/ Garlic Marinated Shrimp:
Served w/ Hominy, Green Beans, Corn and Green Chilies Cream
Dessert: Raspberry glazed Lemon Cheesecake (Fresh Berries)                       
                                                                                                                                      COST: $75.00 -___________
MENU FOR SATURDAY EVENING Sovereign Grand Master Douglas Pittman:
Mixed Baby Greens Salad: (Endive, Mache, Craisins, Golden Raisins, Crumbled
                                                 Blue Cheese, Candied Walnut and Port Wine Vinaigrette)
Petit Filet Mignon Paired w/ Pecan Dijon Crusted Salmon
Served w/Chardonnay Mashed Potatoes, Baby Carrots, Butter Glazed Asparagus and Port Wine Demi
Dessert: Duo of Chocolate Layers of White & Dark Chocolate Mousse
               (Caramelized Graham Cracker Crumbs, Sea Salt Carmel and Milk Chocolate Crisps)
                                                                                                                                       COST: $80.00 –____________

(Special meal Requirements: _______________________________________________________)

I will be staying at the Cheyenne Mountain Resort:  YES_____   NO _____    Date of Arrival: ____________________

(You must make your own reservations at the Resort.)                                      Departure Date: ___________________
                                                                                                                            FLYING: ______           DRIVING:

Cheyenne Mountain Resort Shuttle: $20.00 per person each way –from or to the Colorado Springs Airport
Make arrangements by calling: 719-538-4000. 

If Handicap access is needed, PLEASE let the Shuttle Driver know when you call to schedule your ride.
Make Checks payable to: Colorado Testimonial 2018
Mail to: CO I.O.O.F. Testimonial Committee
1545 Phelps Ave
Canon City, Colorado  81212