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Please reserve _____ tickets @ $25 each. = $ ________ Adults

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Please reserve _____ tickets @ $25 each. = $ ________ Adults

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  1. IASMC Awards BanquetTuesday July 8th, 20149:30 AM Best Western Premier - Nicollet Inn14201 Nicollet Ave SouthBurnsville, MN 55337(Directly off I35E and I35W at Junction off County Rd 42)about 20-25 minutes from downtownAdvance Table Assignments Will Be Made(Reservation made after 6/27 cannot be guaranteed seating together) Please reserve _____ tickets @ $25 each. = $ ________ Adults _____tickets @ $12 each = $_________ Children 12&Under TOTAL DUE: $__________ (Includes IASMC Hospitality Room at Best Western) Name(s) ___________________________ Temple: ___________________________ Unit: ______________________________ Contact Phone; ______________________ Make Checks payable to “IASMC:” and mail c/o: Jay Alfirevic Secretary / Treasurer - IASMC 5518 S. Park Ave Hinsdale, IL 60521 Email: iasmc-st@comcast.net 630-258-3485 Tickets will be held at door under your name.

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