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There Will Also Be a Triple Crown Banquet In 2012

Pay with Debit or Credit Card



Select payment type: Debit or Credit Card click the link to: SCMA Store

Payment by check or money order USD, please complete the following and enclose with your payment. Mail to:
SCMA
P.O. Box 1580
Loma Linda, CA 92354

Print and mail this document with your check.

Please mark the 2010 events you have completed
Verification will be done to validate Triple Crown finishers.


1st Name________________________________________

Address________________________________________

City_________________________ State_____ Zip_________

Phone______________

Email_______________________________

_California Parks Adventure
_ USA Four Corners Tour
_ Three (3) Flags Classic

Choose your Dinner entree
_ Prime Beef
_ Sea Bass
_ Chicken

2nd Name________________________________________

Address________________________________________

City_________________________ State_____ Zip_________

Phone______________

Email_______________________________

_California Parks Adventure
_ USA Four Corners Tour
_ Three (3) Flags Classic

Choose your Dinner entree
_ Prime Beef
_ Sea Bass
_ Chicken

3rd Name________________________________________

Address________________________________________

City_________________________ State_____ Zip_________

Phone______________

Email_______________________________

California Parks Adventure
_ USA Four Corners Tour
_ Three (3) Flags Classic

Choose your Dinner entree
_ Prime Beef
_ Sea Bass
_ Chicken



If you have an interesting story that you would like to share via email to kenn2006@verizon.net or write in the space below".

Registration Form

Triple Crown Banquet. It will be held at the Radisson in Ontario--near the Ontario Airport.

MAP

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