AWARDS BANQUET RESERVATION FORM  - SUNDAY, JANUARY 29, 2011  1:00 PM

Buffett Dinner including entrees, accompaniments, desserts, dinner rolls, and coffee or tea.

The cost per person is $28.00 for members, $31.00 for guests.

To make your reservation, print out and complete this form and mail it with your check to:

Sue Blomquist
29405 Neal Ave.
Lindstrom, MN 55045-8373

RESERVATIONS MUST BE RECEIVED BY JANUARY 22ND

Member Name:                                                          
   
NOTE:  If you are bringing a guest, please complete the following:
   
Member Name: