BOW BANQUET

NOVEMBER 3, 2007

“STAR SPIRIT”

BOW BANQUET REGISTRATION FORM

“STAR SPIRIT”

RICHMOND, BRITISH COLUMBIA

NAME ___________________________________ TITLE ________________________

CHAPTER ____________________________

PHONE NUMBER ___________________ E-MAIL ______________________________

CHOICE OF MEAL: PRIME RIB ______ SALMON ______

NUMBER OF TICKETS __________ @ $40.00 CDN EA TOTAL $_____________

IF PURCHASING MORE THAN ONE TICKET, PLEASE LIST OTHER NAME/S AND TITLES

WITH CHOICE OF MEAL. THANK YOU.

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Please complete this form and return with your cheque, made payable to “O.E.S. BOW

Banquet” on or before October 15, 2007 to:

Stevie MacInnis

315-13929-101 Ave.

Surrey, B.C.

Canada, V3T 5R9