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To complete your reservation for the August 26th event
Please print this page, complete and mail
With your check to
The Home Place
P. O. Box 1476
Hixson, TN 37343-5476
For additional Information call
423-495-7282
Please reserve
_____ at $40 per person or _____ 8-person table at $300
Name ______________________________________________ Phone ______________
Address _________________________________________________________________
City ____________________________________ State ________ ZIP ______________
Please provide an e-mail address to help reduce mailing cost.
E-mail ____________________________________________________________
_____ I am sorry I am unable to attend the benefit but I have enclosed my donation to support the efforts of THE HOME PLACE
___ $100 ___ $150 ___ $200 ___ $500 ___ Other
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