Silver Thistle Dinner, Ball & Brunch

Saturday, June 12 at 5 pm / 7 pm & Sunday, June 13 at 11 am

2010 Reservation Form

	No.	Cost	Amount
Combined Ball & Brunch ticket	____	@ $50.00	_________
Ball ticket – reception, dance, buffet, afters-party	____	@ $40.00	_________
Name(s) for name badge(s): _________________________________________
Spectator ticket - reception, buffet, afters-party	____	@ $15.00	_________
DINNER: (see menu)
Meat Entree (add tax & gratuity) Pasta Entree (add tax & gratuity) Salad Entree (add tax & gratuity)	____ ____ ____	@ @ @	_________ _________ _________
Brunch ticket – Sunday only	____	@ $20.00	_________
Spectator ticket - brunch	____	@ $15.00	_________
Due to space considerations, we regret that children under 14 may not attend this event.
TOTAL ENCLOSED			_________

NO ACTUAL TICKETS WILL BE ISSUED THIS YEAR OR IN FUTURE

NAME: ______________________________________________________________

ADDRESS: ___________________________________________________________

___________________________________________________________

e-mail: _______________________________________________________________

Telephone(s): _________________________________________________________

Please make checks payable to SCD-Richmond and mail to:

Moira J Turner, SCD-Richmond

11302 Avocet Drive, Chesterfield VA 23838-8945

Contacts:

Moira Turner		Rochelle Altholz
MoiraJTurner@aol.com	804 778 4708	chippychew@comcast.net	804-338-3372
FAX – 804 778 7540	804 647 2164

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