John Carroll High School�Annual 300 Club Dinner, Dance, and Auction�
Friday, February 5, 2010, 6:00 pm�
M _________________________________________�
Address: ___________________________________�
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Phone:_____________________________________�
Email:______________________________________�[ ] I / We will be attending [ ] I / We will not be attending�
Number attending __________�
Payment information:�
[ ] I would like__________ tickets for a total of $__________�
[ ] I wish to charge the above selection for a total $________�(MC, Visa, AMEX)�
Number:_____________________ Exp. Date:___________�I / we would like to be seated with the following people (8 people per table):�
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Please return form with payment before January 22, 2010�