A Midwinter Night's Dream ~ January 30, 2010

First Name
Last Name
Mailing Address
City
State
Zip
Email Address
Phone Number
Cocktail Party Ticket ($125)
Cocktail Party Table ($1250)
Gala Tickets ($100)
Gala Table ($1000)
Total Owed
Payment Method	Check is in the mailI will call the office 503-234-4077 with my Visa/MastercardI prefer to pay at the Gala
Meal Selection (1st Person)	Braised Beef Short RibsGrilled Salmon FiletRoasted Vegetable Mediterranean Cous Cous
Meal Selection (2nd Person)	Braised Beef Short RibsGrilled Salmon FiletRoasted Vegetable Mediterranean Cous Cous
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