William Penn Life, 2004 (39. évfolyam, 1-12. szám)
2004-04-01 / 4. szám
Please Print Please Print Please Print Contact Person Branch No. Phone No. Address City State Zip WILLIAM PENN ASSOCIATION Bowling Tournament Awards Dinner Reservation Form Hilton Cleveland South, 6200 Quarry Lane, Independence, OH 44131 Saturday, May 29,2004/ Cash Bar 6:00 p.m./ Dinner 7:00 p.m. Names of Adults (Age 16 and Older) 1. Certificate Number 2. 3. 4. 5. 6. 7. 8. 9. 10. Names of Children Age 11-15 1. Age Certificate Number 2. 3. 4. Names of Children Age 0-10 1. Age Certificate Number 2. 3. 4. All adults and children age 11 and older will be served a dinner featuring a double entrée. All children ages 2 to 10 will be served a special child's meal. Number of Adults (Age 16 and Older) Number of Children Age 11-15 Number of Children Age 4-10 Number of Children Age 0-3 _x $25.00 =______ __x $12.50 =_______ __x $ 6.00 =_______ _ FREE OF CHARGE TOTAL DUE = Request for Table of 10 ___Yes No Reservations and Checks must be received by May 7, 2004 Make checks payable to: "William Penn Association" Mail completed reservation form and check to: William Penn Association, Attn: Richard W. Toth, 709 Brighton Road, Pittsburgh, PA 15233-1821 Willi» Penn Life, April 2004 19
