I
/ We Plan on attending:
___________________________________________________
Total Funds Enclosed: (Make check out to Hawaii State Chapter MOAA)
$______________
I would like to sit with the following people at a table -
________________________________,
_________________________________________________________________________
(This can not always be guaranteed unless you set up a table for a group prior to the
Christmas party).
Seared Filet Mignon Qty: _______ Vegetarian Qty:
____________
Donation: Scholarship $_________ Community Service $_________
Any questions please call Jim Gebhard, 262-1165 or e-mail to
GebhardJim@aol.com
Send checks to: Hawaii State Chapter MOAA, PO Box 1185, Kailua, HI 96734-1185