You're Invited...
To an evening of fun and dancing to
benefit a Closter family afflicted
with (AT) Ataxia Telegeictasia
(Cocktails - Beer - Wine - Music - Raffle)

Date: February 9th, 2007
Place: Assembly East Hill in Closter
Time: 7:30pm to 11:30pm
Cost: $75.00 per person (checks payable to Closter Elks)
Mail checks/reservation forms to:
Helen Futterknecht
185 Closter Dock Road
Closter, NJ 07624
_____________________________________________________________________________

Return this section with check and mail to above address.

________ Number of people attending

_________ Amount enclosed

_________ Cannot attend - please accept enclosed donation

Indicate persons with whom you wish to be seated on the reverse side of form.
Please call Diane Ferraro @ 201-767-4092 or Mary Portera @ 201-925-9473
with any questions.


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