I would like to purchase __________ tickets at $55.00 each (Taxes and Gratuity included) for the 2016 ECSCC Annual Awards Banquet held at the Batifol of Québec, evening August 6, 2016.

Total amount enclosed is _________ persons X $55.00 = ______________

Name: _______________________________________

Address: _______________________________________

_______________________________________

_______________________________________

Deadline for receipt of Banquet Ticket Requests is: July 29, 2016

Please make all cheques or money orders payable to : The English Cocker Spaniel Club of Canada
and mail it to:
Sylvie Boulette
28 Chemin des Cascades
Lac-Beauport, Québec, G3B 0C4
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