Football Kickoff Dinner - Reservation Form
Wednesday, July 27th, 2011
Greater Richmond Convention Center

Form must be RECEIVED by July 20th, 2011.

Instructions:
1.
Enter your info in the spaces below
2.
Print the form
3.
Mail the form to the address listed below.
First name:     Middle name:        Last name: Suffix:

Address 1:
Address 2:

City        
State
Zip

Home phone:
Work phone:
E-mail address: (Include this if you want to join our e-mail list)
Number of seats you wish to reserve:
Amount due:   <amount>

Note: We have reserved seating this year.
Please enter the names of the people to be included in this reservation.
1. 2.
3. 4.
5. 6.
7. 8.
9. 10.

Please make your check payable to: Richmond Hokie Club
Mail to: Richmond Hokie Club
c/o Clem Carter
110 Walsing Dr
Richmond, VA 23229-7641

Note: Ticket(s) will be held at the door.

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Copyright © - 2011 - Richmond Hokie Club