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QDMA NEPA Branch 2207
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Banquet Registration Form Printable Application To Print Application Hi-light and Print Selection
Detach application here. REGISTRATION All reservations must be received by July 10, 2008. It is in your interest to pre-register by July 1, 2008. Your meal tickets and Early Bird Universal Raffle tickets will be at the Registration Desk upon your arrival at Welcome Lake Fire Dept. Registration begins at 9:30 AM. Groups, responding in one envelope by July 1, 2008, receive bonus raffle tickets provided to designated group coordinator. Checks payable to: QDMA Branch 2207. Mail this application to: QDMA Branch 2207, P.O. Box 1147, Milford, PA 18337 NAME (Group Coordinator): ADDRESS: CITY: STATE: ZIP: PHONE: EMAIL: Attending: adults ($12) youth 10 years or less ($8) New Members ($30) Membership renewals ($30) $100 Donor $250 Donor Early Bird Universal Raffle Tickets (before 7/1/08): pay $100 for $300 worth of tickets pay $175 for $600 worth of tickets pay $250 for $900 worth of tickets Total Payment Provided: $ For our planning purposes, do you or members of your group plan to shoot? Yes No Do you or your group plan to participate in Adult-Youth Combo Contest? Yes No
REMINDERS: Where wanted, remember your bow, flintlock, cash for Gun Blitz, and BYOB! RETAIN THIS PORTION
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