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Member Name: _________________________ Phone:____________ Email:____________________ Guest Name: _________________________ Phone:____________ Email:____________________ Cost: Member or Guests $18 Children's Health Initiative* $______ *All Contributions Are Tax Deductible Reservations should be sent to Warren Glick, 83203 Jarvis, Chapel Hill, NC 27517, along with a check for $18 made out to “UNAUSA West Triangle Chapter”. Reservations due by May 10. |