2006 BCSA Rescue Benefit Dinner and
Night of Entertainment
Reservation Form
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2006 BCSA Rescue Benefit Dinner and
Night of Entertainment |
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TELEPHONE: |
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| CONFIRM E-MAIL: | ||||
| NO ATTENDING: | @ $12 each = | |||
| CHECK : |
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| NO ATTENDING: | @ $12 each = | |||
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SIGNATURE: _________________________________________ DATE: |
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RESERVATION DEADLINE: 9/1/06 |
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Send check payable to BCSA with
reservation and/or merchandise donations to: Sharon Savage, 6301 S. Scott Blvd., Columbia, MO 65203 Note: Sharon will be moving to a new house in summer 2006. Mail will be forwarded automatically, but please e-mail Sharon or call (573) 445-2650 for address confirmation before sending packages. |
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Office Use Only: Received _______________________ Check #: _____ |