Benefit Banquet Seat Reservation Form

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Saturday, February 13, 2010 6PM

Seating starts at 5:30PM

Genoa Church
7562 Lewis Center Road

Corner of Rt. 3 & Lewis Center Road - 5 miles north of Westerville.

BENEFIT BANQUET SEAT RESERVATION

I am making reservations for people to attend. Information provided will help us with name tags and communication.

Last Name: *

First Name: *

Spouse Last Name:

Spouse First Name:

Address: *

City: *

St: *

Zip: *

Phone: (NNN-NNN-NNNN) *

E-mail: *

Best time to call (M,T,W,R,F 1-3pm):

I am a student serving at the banquet.
I am an adult volunteering for the banquet.

I can't attend, but would like to partner with RUC on this quest for truth and saving our youth.

I would like to help underwrite the banquet.

I have invited guests and have listed their names, addresses & phone no. below.

Guest Reservations

Guest Box 1

Last Name:

First Name:

Spouse Last Name:

Spouse First Name:

Address:

City:

St:

Zip:

Phone: (NNN-NNN-NNNN)

E-mail:

Guest Box 2

Last Name:

First Name:

Spouse Last Name:

Spouse First Name:

Address:

City:

St:

Zip:

Phone: (NNN-NNN-NNNN)

E-mail:

Guest Box 3

Last Name:

First Name:

Spouse Last Name:

Spouse First Name:

Address:

City:

St:

Zip:

Phone: (NNN-NNN-NNNN)

E-mail:

Additional Comments:

ATM Education

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Sunbury, Ohio 43074

Ph: 740-965-2046
Fax: 740-965-2169

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