2009 Holland Lop Nationals

Banquet Ticket Order Form

Name:________________________________________

Phone #_______________________________________

_______ Adult Ticket(s) $30.00 ea.

_______Youth Ticket(s) (10 yrs and under) $15.00 ea.

Total Amount enclosed ________

Please make checks payable to CHLC.

Mail to:

Lynda Swan

1326 State Rd

Middlebury Center, PA 16935

Must be postmarked by March 14, 2009.