REGISTRATION FOR BREAKFASTS AT CORA'S

Newmarket

Tues., April 27, 2010

TO REGISTER:
1. Complete this form on screen.
2. Print out the completed form.
3. Mail completed form to:

Elizabeth Marriott
705 Caradonna Cres.
Newmarket, Ontario
L3X 1W5

Closing date for November Breakfast: Tuesday, April 20, 2010

MEMBER'S NAME (Type name in box)

ADDRESS (Type address in box)

PHONE NUMBER (Type number in box)

NUMBER OF PEOPLE ATTENDING (Including yourself)

Type in number for Breakfast


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