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16th Annual Military Gala & Banquet
Friday, November 9, 2012
Chateau on the Lake

The 16th Annual Military Gala & Banquet is funded entirely by voluntary contributions.  
Our veterans are grateful for your help and support, but you need NOT be a veteran to attend!  
You will receive a confirmation - tickets are mailed in October.

For information or to order tickets by phone, call toll free - 1-866-481-GALA (1-866-481-4252)

Number of seats at $55.00 each ________ Table of 10,  $550.00__________
Please make checks payable to: P.O.W. NETWORK
_____ Visa _____ MC ____Discover CARD Number ________________________________
Expir Date _______/____________ SIGNATURE: _________________________________
Please PRINT name or Corporate Sponsor:
__________________________________________________________________________________________
Address: _________________________________________________________________________________
City, State, Zip: ___________________________________________________________________________
PHONE: (_____)_____-______________ Email: ________________________________
We WILL be attending the Gala_____ If KNOWN please provide names of those at  your table or
for whom you are reserving tickets. (Include title or rank.)
1.__________________________________ 6.__________________________________
2.__________________________________ 7.__________________________________
3.__________________________________ 8.__________________________________
4.__________________________________ 9.__________________________________
5.__________________________________ 10.__________________________________

We will NOT be attending the Gala. Please accept our supporting donation _________
(Those NOT attending will receive a tax-deductible donation receipt. P.O.W. NETWORK IRS 501 c3 #42 1360-341)

Please mail reservation form to:

P.O.W. NETWORK
Box 68
Skidmore, MO 64487-0068

Call toll free - 1-866-481-GALA for further information or
email info@pownetwork.org

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