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ANNUAL MEETING & RECOGNITION LUNCHEON
(Complete online registration and payment)

Please reserve:

Individual ticket(s) at $30 per person  
Corporate table of 8 persons $1250 per table  
In addition to the above tickets, please accept my/our contribution in the amount of:  
     
  Total:

(MAKE CHECKS PAYABLES TO LCDA)
Contributions are tax deductible to the extend allowed by law

Please invoice the company listed below

Company:  
Adress:  
Telephone:  

Please list my/our reservation under the name of:

Name :  

Guest List

 

Corporate name to recognize:
(For corporate table sponshorships only)

Name :  
If corporate table is not filled we autorize the sitting of special guests from the community at our table.  

* If you not sumit payment, your registration will not be process