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LATINO SENIOR RECOGNITION BANQUET
(Recognition Dinner)

Please reserve:

Individual ticket(s) per Students  
Individual ticket(s) per Adult  
  Total:
     
In addition to the above tickets, please accept my/our contribution in the amount of:  

(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:

School Name  
Senior Name  

Guest List

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