Order Form for 2009 Volunteer Recognition Dinner
Kitchener Sports Association     
 
Volunteer Recognition Dinner
 
 
Ticket Order Form for Dinner: Tuesday November 17, 2009 
Cocktails at 6:00 PM,  Dinner at 6:45 PM
 
Sport Group        _______________________________________   
                                     
Award Recipient    ____________________________________________
 
 

# of Tickets
 
 
 
 
Total
 
Award Recipient
 
1
 
X
 
No Charge
 
=
 
$          0.00
 
Other Guests (inc. presenter)
 
 
 
X
 
$25
 
=
 
$
           
 Please list names of attendees if known for checking in and seating. (note: substitutions/replacements are allowed)
 
 
 
 
 
 
           
Total #
of Tickets
 
 
 
Total
Enclosed
 
 
$
 
Note: Tables will be set up with 8 settings each and may be reserved in advance.  Reserve? _____        
 
 
Please make cheques/money orders payable to:
 
The Kitchener Sports Association.
 
>Please return this form, with appropriate payment,  by November 7 to:
           
KSA Volunteer Recognition Dinner
          c/o Adele Couchman
          3 -210 Highland Cres.
          Kitchener, Ontario N2M 5H6
          Fax: 519-744-9735
 
or E-mail:
 
or
 
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