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2009 BCSA
Rescue Dinner Reservations |
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| NAME: | |
| ADDRESS: | |
| CITY/STATE/ZIP: | |
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BEST PHONE: |
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| WEB SITE: | |
| E-MAIL: | |
| CONFIRM E-MAIL: | |
| DINNER: | Dine In Take Out |
| NUMBER GUESTS: | $20.00 per guest for advance tickets, $22.00 per guest for tickets purchased Oct 9th |
| AMOUNT ENCLOSED: | |
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Make Checks payable to: BCSA |
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Office Use Only: Received ____________________ Check # ________ Initials ________ |