REGISTRATION FOR BREAKFAST AT CORA'S

Richmond Hill
Wednesday, January. 27, 2010

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

Betty Tobin
404-150 Colborne Avenue
Richmond Hill, Ontario
L4C 2K1

Closing date for December Breakfast: Wednesday, January. 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

Click to print Print

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