Bluegrass Nights Christmas Party Kempton Rod & Gun Club Name________________________________________________________________________________ Address______________________________________________________________________________ City______________________________ State_____ Zip___________Email: _____________________ # tickets________ X $20.00 = _________________ Total Enclosed Send this form, a self addressed stamped envelope and your check to: Lynn Peters 4063 Mt View Dr., Walnutport, PA 18088 Tickets are limited to the first 180 people. |