ANNUAL SPRING MEETING –
DINNER REGISTRATION FORM: DEADLINE Friday, May 9TH
PLEASE RESERVE: __ Adult Chicken Dinners; __ Children’s Chicken Dinners
__ Adult Primavera Dinners; __ Children’s Primavera
PAYMENT: __ Adult Dinners @ $20.50 each = $ ________
__ Children’s Dinners @ $15. each = $ ________
(Under 12 years of age)
I enclose $ _________ and a SELF-ADDRESSED STAMPED RETURN ENVELOPE.
Please make checks payable to:
YOUR NAME: ________________________
ADDRESS: ________________________
CITY/STATE/ZIP ________________________
PHONE: ________________________
LIST NAMES OF THOSE
ATTENDING:
______________________________________________________________________________
Mail to: Tom Wheeler,
REMEMBER TO INCLUDE YOUR CHECK
AND
A SELF-ADDRESSED STAMPED RETURN
ENVELOPE