SCMA's Third Annual Triple Crown Banquet Reservation Form February 19, 2011

___ $50.00 Per Person

Name:* Email, Phone:* Address:* City, State, ZIP:* Dinner Selection:* Prime Beef Sea Bass Chicken Name: Email, Phone: Address: City, State, ZIP: Dinner Selection: Prime Beef Sea Bass Chicken Name: Email, Phone: Address: City, State, ZIP: Dinner Selection: Prime Beef Sea Bass Chicken Events Completed:* California Parks Adventure Four (4) Corners Motorcycle Tour Three Flags Classic If you are mailing a check in, please PRINT this form out & include in the same envelope. Make check out & mail to: SCMA P.O. Box 1580 Loma Linda, CA 92354 If you are paying by credit or debit card, click on the "Send Email" button here & then click this link www.sc-mastore.com. Verification No.:* Problems with this form? Email Treasurer@sc-ma.com Email form generated by 123ContactForm

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