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RESERVATION FORMS FOR MARCUS GRODI EVENT OCTOBER 1, 2011 8:30 am – 3:30 pm MASS at 4:00 pm Church of St Gregory the Great, 4620 Nottingham Way Hamilton Square, NJ 08690 PLEASE NOTE: Reservations will be made on a first-come, first-served basis. Open seating. Each ticket includes a Box Lunch. No tickets will be sold at the door.

ONE REGISTRATION FORM IS REQUIRED FOR EACH PERSON / FAMILY MEMBER ! Family / Group payments may be made with one check or credit card charge. The Church of St. Gregory the Great Please mail this form with payment to: ATTN: Marcus Grodi Event 4620 Nottingham Way Hamilton Square, NJ 08690 Name: Address: E-Mail:

City:

Name: Address: E-Mail:

City:

Name: Address: E-Mail:

City:

State and Zip:

Phone: Box Lunch: Sandwich, Drink, Chips and Cookie. Sandwich Choice: (circle one) Ham Turkey Veggie Drink Choice (circle one): Coke Diet Coke Sprite Water Payment Information (Ticket Price: $25.00 per person) □ I am enclosing a check payable to The Church of St. Gregory the Great □ I am paying by credit card: □ MasterCard □ Visa □ Discover Name on Card: Signature: Card Number: Expiration Date: 3 digit code on back:

State and Zip: Phone: Box Lunch: Sandwich, Drink, Chips and Cookie. Sandwich Choice: (circle one) Ham Turkey Veggie Drink Choice (circle one): Coke Diet Coke Sprite Water Payment Information (Ticket Price: $25.00 per person) □ I am enclosing a check payable to The Church of St. Gregory the Great □ I am paying by credit card: □ MasterCard □ Visa □ Discover Name on Card: Signature: Card Number: Expiration Date: 3 digit code on back:

State and Zip: Phone: Box Lunch: Sandwich, Drink, Chips and Cookie. Sandwich Choice: (circle one) Ham Turkey Veggie Drink Choice (circle one): Coke Diet Coke Sprite Water Payment Information (Ticket Price: $25.00 per person) □ I am enclosing a check payable to The Church of St. Gregory the Great □ I am paying by credit card: □ MasterCard □ Visa □ Discover Name on Card: Signature: Card Number: Expiration Date: 3 digit code on back:MEMBER ! ONE REGISTRATION FORM IS REQUIRED FOR EACH PERSON / FAMILY


ONE REGISTRATION FORM IS REQUIRED FOR EACH PERSON / FAMILY MEMBER ! Family / Group payments may be made with one check or credit card charge. Name: Address: E-Mail:

City:

Name: Address: E-Mail:

City:

Name: Address: E-Mail:

City:

Name: Address: E-Mail:

City:

State and Zip:

Phone: Box Lunch: Sandwich, Drink, Chips and Cookie. Sandwich Choice: (circle one) Ham Turkey Veggie Drink Choice (circle one): Coke Diet Coke Sprite Water Payment Information (Ticket Price: $25.00 per person) □ I am enclosing a check payable to The Church of St. Gregory the Great □ I am paying by credit card: □ MasterCard □ Visa □ Discover Name on Card: Signature: Card Number: Expiration Date: 3 digit code on back:

State and Zip:

Phone: Box Lunch: Sandwich, Drink, Chips and Cookie. Sandwich Choice: (circle one) Ham Turkey Veggie Drink Choice (circle one): Coke Diet Coke Sprite Water Payment Information (Ticket Price: $25.00 per person) □ I am enclosing a check payable to The Church of St. Gregory the Great □ I am paying by credit card: □ MasterCard □ Visa □ Discover Name on Card: Signature: Card Number: Expiration Date: 3 digit code on back:

State and Zip:

Phone: Box Lunch: Sandwich, Drink, Chips and Cookie. Sandwich Choice: (circle one) Ham Turkey Veggie Drink Choice (circle one): Coke Diet Coke Sprite Water Payment Information (Ticket Price: $25.00 per person) □ I am enclosing a check payable to The Church of St. Gregory the Great □ I am paying by credit card: □ MasterCard □ Visa □ Discover Name on Card: Signature: Card Number: Expiration Date: 3 digit code on back:

State and Zip: Phone: Box Lunch: Sandwich, Drink, Chips and Cookie. Sandwich Choice: (circle one) Ham Turkey Veggie Drink Choice (circle one): Coke Diet Coke Sprite Water Payment Information (Ticket Price: $25.00 per person) □ I am enclosing a check payable to The Church of St. Gregory the Great □ I am paying by credit card: □ MasterCard □ Visa □ Discover Name on Card: Signature: Card Number: Expiration Date: 3 digit code on back:


Grodi Registration Forms  

Grodi Registration Forms

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