Walking On Volume 2, Issue 1, January 2015 | Page 11

Middle Tennessee State University
James Union Building—Murfreesboro, TN
Reservation Form
Saturday Evening—February 14, 2015
5:00 p.m. Cocktails, Cash bar
5:30 p.m. Versatility, Kentucky and ROM Awards
7:00 p.m. Dinner
8 p.m. National High Point Awards
50/50 Drawing & Silent Auction
Name: ____________________________________________________________________
Address: __________________________________________________________________
City: _______________________ State: _____ Zip Code ____________________________
Daytime Phone Number: _____________________________________________________
Number of Adults: ________ @ $45.00 each . . . . . . . . . . . . . .
$ ____________________
Number of children (11 years & under): _____ @ $25.00 each
$ ____________________
Total: $ ____________________
Check# ____________
Visa ____ M/C ____ Discover ____
Credit Card No: _____________________________ Exp. Date: _______________________
Please return form and payment by February 1, to: WHOA, P.O. Box 4007, Murfreesboro, TN 37129
SEATING FOR TABLES IS LIMITED TO TEN - PLEASE FURNISH BELOW NAMES FOR
YOUR TABLE RESERVATION. LARGER PARTIES MAY BE SEATED AT NEIGHBORING TABLE.
1. ______________________________

2. ______________________________

3. ______________________________

4. ______________________________

5. ______________________________

6. ______________________________

7. ______________________________

8. ______________________________

9. ______________________________

10. ______________________________

Table Name: (Individual or Stable Name you would like to be seated with)
________________________________

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