Event - President's Dinner honoring Jewel Hunt

Number of tickets at $80.00 each	Subtotal
	Full Name
	Company
	Address
	City
	State
	Zip
	Phone
	email
Entree: Please indicate Chicken, Sea Bass or Strudel
Names of people in your group:	Please indicate Chicken, Sea Bass or Strudel for each name
Name2	Name 2 Entree
Name3	Name 3 Entree
Name4	Name 4 Entree
Name5	Name 5 Entree
Name6	Name 6 Entree
Name7	Name 7 Entree
Name8	Name 8 Entree
Name9	Name 9 Entree

Total Amount*   *Must be filled in for to process credit card.