(GO TO THE TOP OF YOU BROWSER WINDOW, CLICK FILE, THEN CLICK PRINT)
ANNUAL "EMBRACE LIFE" BENEFIT DINNER
Guest Speaker: Pam Tebow, Mother of Tim Tebow, 2007 Heisman Trophy Winner
Dinner Reservation Form – RSVP by September 3, 2010
_______Yes, I/we plan to attend. Enclosed find a check in the amount of
$___________
for __________ reservation(s).
or $300 for a table of 8 _________.
Seating is on a first
come basis; however if you register as a group of eight or
more,
please list the names of
those in your group BELOW,
and we will see that your group is seated together.
NAME ________________________________________________________
ADDRESS _____________________________________________________
CITY ___________________________________MI ZIP ________________
PHONE ( ) -
CELL: ( ) -
EMAIL ADDRESS: ______________________________________________
Additional People:
NAME ________________________________________________________
NAME ________________________________________________________
NAME ________________________________________________________
NAME ________________________________________________________
NAME ________________________________________________________
NAME ________________________________________________________
NAME ________________________________________________________
Please make checks payable to
"Flint Area Right to Life" and mail to:G-4482 N. Genesee Road, Suite C, Flint, Michigan 48506
Phone: (810) 250-0218 Email: Flint RTL@att.net Visit us on the web: www.FlintRTL.com