Reservations @ $19.71 each __________= ______________
Reservations at $30.00 each___________= _______________
(After April 1st and @ door)
Golf reservations @ $35.00 __________= ________________
DONATION: ______________
Total Enclosed: _________________
NAME:_______________________SPOUSE:______________________________
ADDRESS:_____________________________CITY:_______________STATE:_____ZIP_____
PHONE_________________________ E-MAIL:___________________________________