Clean Water Action Council's
12th Annual Banquet and Benefit
March 26, 2004
Reservation Form
Name(s) ________________________________________Date __________
Address ______________________________________________________
City______________________________State _____Zip Code ___________
Phone ________________________________________________________
Enclosed please find $ ____($15/person, $28/couple, $7.50/students) for
#_____ Tickets. Proceeds to benefit the Clean Water Action Council.
Mail check or money order to: Clean Water Action Council,
1270 Main Street, Suite 120, Green Bay, WI 54302. Phone: 920-437-7304.
E-mail: [email protected] Reservations required by March 23, 2004
|