2008 CONVENTION - BANQUET REGISTRATION FORM

Location:
September 27^th 2008 at 7:00 PM
Turf Club
Ferndale Fairgrounds, Ferndale CA

=======================================================================

FIRST NAME: ______________________ LAST NAME: ______________________

ADDRESS:____________________________ CITY: ________________

STATE: _______ZIP: _________

PHONE: ________________________ E-MAIL: _________________________

Banquet Menu Dinner Registration Recommended

Please indicate quantity of meals requested next to price

Pork Loin $16.00 _____ Lasagna Wrap $14.00 _____ Chicken Cordon Bleu $12.00 _____

Make checks/money orders for the Banquet to: R.C.A.R.C.

Mail payment to:

R.C.A.R.C.

P.O. Box 5251

Eureka, CA 95501

For information call: Marci Campbell, KE6IAU 707-442-3866

E-mail: clem1@pacbell.net