William Penn Life, 2001 (36. évfolyam, 1-12. szám)

2001-03-01 / 3. 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 Clarion Hotel Westgate, 3536 Secor Road, Toledo, OH 43606 Saturday, May 26, 2001 / 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 13-15 1. Age Certificate Number 2. 3. 4. Names of Children Age 0-12 1. Age Certificate Number 2. 3. 4. All adults and children age 13 and older will be served a dinner featuring a double entrée (ham and turkey). All children ages 0 to 12 will be served a special child's meal. Number of Adults (Age 16 and Older) Number of Children Age 13-15 Number of Children Age 4-12 Number of Children Age 0 - 3 x $21.00 = ______ x $11.00 = ______ x $ 5.00 = ______ FREE OF CHARGE Request for Table of 10 ___Yes No TOTAL DUE = ________ Make checks payable to: "William Penn Association" Reservations and Checks must be received bv Mav 4. 2001 Mail completed reservation form and check to: William Penn Association, Attn: Diane M. Torma, 709 Brighton Road, Pittsburgh, PA 15233-1821 8 Hilliu Pen Life, February 2001

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