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Kick-off To Victory Party Reservation

When: Saturday, August 14, 2010
Where: Country Club of Louisiana
18400 Boulevard Louisiane
Baton Rouge, LA 70810
Time: Patron Party - 6 to 7 pm (for Sponsors and Magnolia Club members)
Kick-Off Party - 7 to 9:30 pm
Silent Auction - 6 to 9 pm
Cost (select your level):
Email address:*
Primary Guest* (your name):
Company (if applicable):
Address:*
City,State, Zip:*
Phone - 1:*
Phone - 2:

List names of additional guests in your party:
(If you want to purchase multiple tickets, please list the names of the guests here)
1:
2:
3:
4:
Is anyone in your party a MAGNOLIA CLUB MEMBER?Yes No
If Yes, who?     
Please charge my credit card
I am mailing my check Payable to LFRW to P. O. Box 2102, Mandeville, LA 70470.

If making a reservation by credit card, when you submit this form, a new window should open connecting you to PayPal where you will finish the payment process. If you have a pop-up blocker enabled, you may need to temporarily disable it to allow the pop-up to be displayed.

For more information please e-mail info@lfrw.org or call the LFRW office at either 225-939-9941 or 985-630-0677.