Name:____________________________________________________________________________

Address:_____________________________ City _____________________ State _____ Zip _______

Phone #____________________________ Total $ Enclosed ______________________


# Persons _____________ Thursday, September 18

#Persons _____________ Tuesday, September 23

#Persons _____________ Tuesday, October 7

#Persons _____________ Tuesday, October 14

#Persons _____________Thursday, October 23

#Persons _____________ Tuesday, October 28

#Persons _____________ Tuesday, November 4

#Persons _____________ Tuesday, November 11