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Tuesday, December 23, 2014 - the Colorado Knights of Columbus

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COLORADO KNIGHTS OF COLUMBUS
Midyear Meeting
Colorado Springs Marriott
January 09, 10, 11, 2015
AN ELECTRONIC VERSION OF THIS FORM IS ON THE STATE WEBSITE
MEAL RESERVATIONS
PRINT NAME:__________________________________________________________
OFFICE or TITLE:
COUNCIL #______________
District Deputy #
ADDRESS:_____________________________________________________________
PHONE:__________________ E-MAIL:____________________________________
THIS FORM MUST BE RECEIVED BY:
Tuesday, December 23, 2014
MEALS
#
ATTENDING
TOTAL AMOUNT
OWED
Breakfast Buffet – (Saturday and/or Sunday) –
$18.00
0
07:00 am (Per person, per day)
$25.00
0
Luncheon Buffet – Men and Ladies – 12:00 pm
$40.00
0
Banquet – Adult – 7:30 pm
$15.00
0
Banquet – Child Plate
Per diem for Wife attending the Weekend, $35 per
$35.00
0 Days
day not to exceed $70
DD Only Allowance (Breakfast x2, Luncheon,
$101.00
Banquet) Only, No substitution
Banquet Meal Selection
Orange Horseradish glazed Roast Pork
Seared 6oz Chicken breast with boursin, tomato, and artichoke with lemon
garlic butter
Vegetarian
Special Needs:
Gluten Free:
Dairy:
Other:
$0.00
EVENT
COST
$0.00
$0.00
$0.00
$0.00
-$101.00
0
0
0
TOTAL:
$0.00
CHECK OR MONEY ORDER PAYABLE TO: COLORADO STATE COUNCIL
AN ELECTRONIC VERSION OF THIS FORM IS ON THE STATE WEBSITE
1. The courtesy of pre-paying for meals is requested.
2. Payment by Check or Credit Card.
CREDIT CARD PAYMENT Contact Information
Send to:
Credit Card:
Visa
MasterCard
AMX
Executive Secretary
Card Number:__________________________
Butch Enderle
Expiration Date:______/______
P.O. Box 572
CVV# on back:________
Peyton, CO 80831-0572
Name as it appears on Card: ____________________________
co.kofc.exec@gmail.com
SIGNATURE:_______________________________________
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