Print out and mail this form

Ticket reservation Form                       Ticket Cost: $7.00 per person

Please make checks payable to:

Dist. 10 Gratitude Banquet

For more information contact Debbie H.  377-4360

Mail form to: 99A McNeal Ave   Bremerton, WA  98312

____________________________________________________________________________

Name: ____________________________________    Number of Tickets: ____________

Address: __________________________________     Home Group: ________________

              ___________________________________     Phone Number#_______________