LAMBERT AIRPORT ROTARY CLUB
ST. LOUIS COUNTY, MISSOURI - USA - DISTRICT 6060

Cigar Dinner Registration Form

Print the form (½" margins all around) and send it with the appropriate payment to:

Fletcher E. Wells II
C/O St. Johns Bank & Trust Co.
11965 St. Charles Rock Road
Bridgeton, MO 63044

                       Lambert   Airport  Rotary  Club’s  Cigar  Dinner

 

Name: ________________________________     E-mail: _____________________________

 

Address: ______________________________     City: _______________________________       

                                                                                            

State: _______ Zip: ____________________       Phone: ______________________

 

 

 

Name: ________________________________     E-mail: _____________________________

 

Address: ______________________________     City: _______________________________      

                                                                                           

State: _______ Zip: _____________________      Phone: ______________________

 

 

Number in party: ______________       @$75.00 ea.      Amount due: $________________  

  

      Registration by:  October 15, 2010             Event date:   October 22, 2010

   - - There is a limit of 40 people for this dinner. Timely paid reservations are important! - -

                    No limit on participants this time, but we still need the reservations

 

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If there are any changes or additions that need to be made to this web site, 
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Last Update on 08/09/2010