Ring 19 Annual Banquet
January 8th, 2006
5:30pm

Please print this form and mail it with your payment.

Member (2 Maximum):
$30.00 each dinner
___ Top Sirloin
___ Chicken Cordon Bleu
___ Pasta Alfredo with Veg

___ Strawberry Shortcake
___ Apple Pie a la Mode

$_____ Total of Member Meals

Guests:
$35.00 each dinner
___ Top Sirloin
___ Chicken Cordon Bleu
___ Pasta Alfredo with Veg

___ Strawberry Shortcake
___ Apple Pie a la Mode

$_____ Total of Guest Meals

 


$_____ Total Meals
$_____ IBM Membership Renewal*

 

*$15.00 -- please complete the membership information form and mail with your banquet registration form.

 

 

$_____ Amount Enclosed
             - checks payable to IBM Ring 19

 

Please print clearly:

IBM Member Name:
(if a guest) Guest Name:
Phone:
Email:

____________________________
____________________________
____________________________
____________________________

Tickets will be held until the banquet.
Emails will be sent confirming receipt of your payment.

    Mail this completed registration form, along with your payment to:

    Walt Pattinson
    PO Box 11446
    St. Paul, MN 55111
    612-822-3807

    Reservations must be received by December 21.

 

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