PRINT and MAIL
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16th Annual
Military Gala & Banquet
Friday, November 9, 2012
Chateau on the Lake
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The 16th
Annual Military Gala & Banquet is funded entirely by
voluntary contributions.
Our veterans are grateful for your
help and support, but you need NOT be a veteran to attend!
You
will receive a confirmation - tickets are mailed in October.
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For
information or to order tickets by phone, call toll free - 1-866-481-GALA (1-866-481-4252)
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| Number of seats
at $55.00 each ________ |
Table of 10,
$550.00__________ |
| Please make checks
payable to: P.O.W. NETWORK |
| _____ Visa |
_____ MC |
____Discover |
CARD Number
________________________________ |
| Expir Date
_______/____________ |
SIGNATURE:
_________________________________ |
| Please PRINT name
or Corporate Sponsor: |
| __________________________________________________________________________________________ |
| Address:
_________________________________________________________________________________ |
| City, State, Zip:
___________________________________________________________________________ |
| PHONE:
(_____)_____-______________ |
Email:
________________________________ |
| We WILL be
attending the Gala_____ |
If
KNOWN please provide names of those at your table or
for whom you are reserving tickets. (Include title or rank.) |
| 1.__________________________________ |
6.__________________________________ |
| 2.__________________________________ |
7.__________________________________ |
| 3.__________________________________ |
8.__________________________________ |
| 4.__________________________________ |
9.__________________________________ |
| 5.__________________________________ |
10.__________________________________ |
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We will NOT
be attending the Gala. Please accept our supporting
donation _________
(Those NOT
attending will receive a tax-deductible donation receipt.
P.O.W. NETWORK IRS 501 c3 #42 1360-341)
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Please mail
reservation form to: |
P.O.W. NETWORK
Box 68
Skidmore, MO 64487-0068 |
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Call toll free -
1-866-481-GALA
for further information or
email info@pownetwork.org |
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