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Please print
this page; return this form with your contribution! Thank you!
Please reserve ______seat(s)
at $25 per person, or_______table(s) at $200 (8 persons)
Make checks payable to:
The Home Place
P.O.Box 1476
Hixson TN 37343-5476
_____ I am unable to attend the benefit but have enclosed my donation
to support the efforts of The Home Place. Name:__________________________________________________Phone______________________
Address:______________________________City___________________________Zip____________
Email______________________________________________________________________________
Please respond by April 9th to be assured a reservation! All proceeds
from this benefit go to The Home Place
Call: 423-870-6282 if you need more information. Questions? Send
E-mail to Sister Adamarie
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