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 ____________________________________________
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# of Tickets
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Total
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Award Recipient
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1
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X
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No Charge
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$ 0.00
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Other Guests (inc. presenter)
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X
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$25
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=
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$
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Please list names of attendees if known for checking in and seating. (note: substitutions/replacements are allowed)
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Total #
of Tickets
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Total
Enclosed
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$
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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