Syracuse Peace Council's
72nd Birthday Dinner

Featuring veterans Sam Feld, Joe Heath and Bryan Casler

First Name: Last Name:
Address:
City: State: Zip:
Daytime Phone: Evening Phone:
E-mail    
I am interested in placing a paid greeting or ad in the program for the dinner. Please contact me : (deadline Tues., September 16)
Childcare is available. Reservations must be made by Thursday, September 18.
Do you need childcare? Yes No  
  If so, for how many?  
Ages? (seperate ages with commas)  
Comments:

The cost is $15 to $72 per person. (sliding scale)
Number in group that will be attending:
How much can you donate per ticket?
$ per person.  
Total=
$
Check is in the mail.