1 c. tuna, drained
1 c. Campbell's cream of mushroom soup
1 lb. elbow macaroni, cooked
1/4 tsp. pepper
1/2 tsp. garlic salt
4 tbsp. Romano grated cheese
1/4 c. milk

Cook elbows; drain. Place in a bowl. Put all other ingredients into bowl and mix well. Pour mixture into greased baking dish. Bake at 375-400 degrees for 45 minutes. Serve.