Annual Birth-Right Dinner Reservation Form

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Enter email address in this format User@Domain.Net Example JohnSmith@Comcast.net or John Smith@gmail.com

Please enter phone number in this format 603-123-4567

Please enter phone number in this format 603-123-4567

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Tickets are $25.00 per Person. Please a send payable to: "K of C State Council" and mail to: SS Tim Kingsley, 6 Cosworth Circle, Nashua, NH 03062

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