2004 Awards Banquet Reservation Form

Name: ________________________________________

Address: _______________________________________

Phone: ________________________________________

Number of tickets:______ times $17.00/ticket = $________________


Reservation deadline is 5-Feb-2005, 12-noon Sharp!

Mail your check, payable to ALGC, and this coupon to:
Denny Rich
13069 Westchester Trail
Chesterland, OH 44026-2841