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 15TH ANNUAL NATIONAL CONSERVATION BANQUET

SATURDAY, AUGUST 25, 2001

HOLIDAY INN SELECT OF HICKORY

6:00pm - 11:00pm

           *   Individual $75 Ticket Includes:

Admission to the banquet, one subscription to the "Northwestern News and Views" newsletter, Open Bar cocktails from 6:00PM to 11:00PM and a delicious buffet dinner.

          **   Gold Table $600 Ticket Includes:

All of the above for the 8 persons PLUS special reserved seating, PLUS special recognition in the banquet program

***   Ladies Extravaganza” Raffle Ticket- $50

This raffle is limited to 75 participants and will entitle you to a chance of winning one of five grand prizes.  For your interest a copy of the raffle items is attached.

         ****   “Sportsman’s Extravaganza” Raffle Ticket- $100

This raffle is limited to 100 participants and will entitle you to a chance of winning one of ten grand prizes.  For your interest a copy of raffle items is attached.

   COST:

 

 

Individual -------------------------------$75-------------------- QTY:      TOTAL: $         

Gold Table (8 Seats) ------------------$600---------------- QTY:      TOTAL: $        

Ladies Extravaganza” Raffle ticket $50 ------------ QTY:      TOTAL: $        

Sportsman’s Extravaganza” Raffle Ticket $100  QTY:       TOTAL:$        

                                                                                                                                                                                                                          TOTAL:      $                 

 

PAYMENT METHOD: advance payment is requested to help ensure rapid check-in.

 Name:    __________________                                                                   _________

Address:  _______________                                                                    __________

City: ____________              ________________

 Phone:  ____________________________   State:          ___________   Zip:         ___________

 E-mail:                                                                                                              

  Check: ___ Visa: ___ MasterCard: ___ Account #:  _________________________

  Expiration Date: _____________________

  Signature:   ________                           __________________

 

SEND TO:   Trout Unlimited Banquet                          

                      P.O. Box 9401                                                                  

                      Hickory, NC  28603-9401                                               

 

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