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MSSAC Banquet Saturday June 12, 2010

6:00PM –11:00PM

Senior Spectrum’s Cohen Center

I (We) plan to attend the annual banquet @ $20.00 each.(includes gratuity) Please mark how many for each meal below. You will be provided with tickets accordingly that night.

Menu choice:

Chicken Cordon Bleu

_______________

Meat lasagna ______________

______________Vegetarian Stir Fry

Meals include: California blend vegetables, roasted potato, coffee/ punch, and German Chocolate Cake

Name:____________________________________Phone

____________________

Address

_____________________________________________________________

Need this information for the Cohen Center.

Please send checks payable to MSSAC and this form to Rev. Earl Wallace,124 Spring Street, Gardiner, Maine 04345 by May 25th.

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