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2015 BACDS Fall Ball Registration

Name:   
Name on Button   
Street Address   
City   
State   
Zip   
Telephone:    (with area code)
Email   

Registrants will receive a preliminary roster to personally arrange your Transportation and Hospitaliy.
Please do NOT publish my name   street address   city, state, zip   phone   e-mail

Housing survey:

*Optional Buffet Dinner: Middle Eastern cuisine prepared by SUNRISE DELI, San Francisco (see details below).

This event depends on the help of VOLUNTEERS!  If you would like to pitch in, please tell us!
        I will help day of the Ball   week of the ball    other

I will submit payment   by mail, postmarked by November 4     at the door (after November 4)
I will attend the  (see cancellation policy below) $ 
Buffet Dinner  (or choose "no buffet") $ 
Your tax-deductible donation to BACDS is appreciated!   $ 
TOTAL: $ 

Mail your check (payable to BACDS) with this form to:
Fall Ball c/o Loretta Reid, 879 Loma Verde Ave, Palo Alto 94303-4115