Collegeville Borough Limerick Township Lower Providence Township Perkiomen Township Royersford Borough Skippack Township Trappe Borough Upper Providence Township Worcester Township
Doug Hager, ChairmanDon Madison, Vice Chairman
Art Bustard, SecretaryJeff Asher, Treasurer
Montgomery CountyRepublican Committee
AREA42013 FALL FUNDRAISER
with special guest:
Congressman Jim Gerlach Breakfast Buffet
Saturday September 7, 2013
Where: Chadwicks Restaurant 2750 Egypt Road • Audubon, PA 19403
Time: 8:30 AM to 10:30 AM
Price: $30.00 per person/ $50 per couple
Fare: Scrambled eggs, omelette station, pancakes, bacon, sausage, fruit, toast, juice, coffee and tea
______________________________________________________________BUFFET TICKET REQUEST FORM
Enclosed is my check in the amount of $_____________________for_______tickets for the Buffet.NAME____________________________________________________________________________________NUMBER & STREET_______________________________________________________________________CITY__________________________________STATE______________________________ZIP____________TELEPHONE NUMBER_____________________________________________________________________
SPONSORS: ____ $300 GOLD LEVEL ____ $200 SILVER LEVEL ____ $100.00 BRONZE LEVEL
I would like to be a sponsor for the event: Enclosed is my check in the Amount of $_____NAME____________________________________________________________________________________NUMBER & STREET_______________________________________________________________________CITY__________________________________STATE______________________________ZIP____________TELEPHONE NUMBER_____________________________________________________________________No Corporate checks accepted. Our Committee Treasurer needs your name and home address to fulfill Election Reporting requirements
Make Checks payable to: Friends of Area 4Mail Checks to: Area 4 P.O. Box 1154 Skippack, PA 19474
Will Pay at Door. Please Confirm attendance by e-mail: [email protected]
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