John Carroll High School Annual 300 Club Dinner, Dance, and Auction Friday, February 5, 2010, 6:00 pm M _________________________________________ Address: ___________________________________ ___________________________________________ Phone:_____________________________________ Email:______________________________________ [ ] I / We will be attending [ ] I / We will not be attending Number attending __________ Payment information: [ ] I would like__________ tickets for a total of $__________ [ ] I wish to charge the above selection for a total $________ (MC, Visa, AMEX)
Number:_____________________ Exp. Date:___________ I / we would like to be seated with the following people (8 people per table): ________________________________________________________________ ________________________________________________________________ Please return form with payment before January 22, 2010