HOSPICE REGATTA NATIONAL CHAMPIONSHIP
May 12-14, 2006
SOCIAL & SPECTATOR RESERVATION FORM
Name
email Address
Street
City
State
Zip Code
Phone
Cell Phone
Please reserve the following numbers of
passes for me and my guests*:
*NAMES of Spectators, days attending & key phone numbers so we don't leave the dock without you!
VERY IMPORTANT: In case of emergency
changes, how can we contact YOU 5/12-14?
Make checks payable to the National
Hospice Regatta Alliance.
Mail checks to: Linda Ambrose,
1106 Van Buren Street, Annapolis, MD 21403
Comments:
If you would like to receive a recipt of this order
please check the following box
->
Indicate the email address to receive it ->
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