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Pete Plourde Testimonial Dinner

Attendance Form

ATTENDANCE FORM 
 
Please complete and mail in with your check to the address/individual noted below 

Name:_________________________________School/yr graduated____________
 
Spouse/other attending with you__________________________________
 
Contact information:
 
email:___________________________________________________
 
phone(s)_________________________________________________
 
mailing address:____________________________________________________
 
__________________________________________________________________
 
Menu choices: (please indicate choice of food)
 
New York Strip Steak _________   Chicken Breast_____________
 
Grilled Salmon Filet______________
 
All above include salad, chef selection of starch & vegetable, rolls, butter & dessert, coffee, decaf coffee, assorted teas
 
Would you like to help out with the testimonial?
  • Contact person___________-
  • Other (please indicate)________________________________________________
 

Cost to attend the testimonial is $68.00 per person
 
Please make your check payable to:
 
Edward P. Frappier
also please note on your check that the monies are for Plourde dinner and mail to:
 
Ed Frappier
1770 Chelsea Place
Kernersville, NC 27284