2012 Lakefest Dinner Ticket Reservation Form
Sailors Reception, Friday April 13 and the Shipwrecked Ball, Saturday April 14
The Point restaurant at Grandpappy Point Marina
Name
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
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Guatemala
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Jamaica
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Saint Lucia
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Singapore
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Nauru
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Samoa
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Tonga
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Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
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Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
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Sierra Leone
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South Africa
Sudan
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United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
Email
*
Cell Phone Number
*
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Home Phone Number
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Combination Tickets (Friday and Saturday) $40 each
Friday Dinner Tickets $20 each
Saturday Dinner Tickets $30 each
Child Ticket $10 each (Good for either night)
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