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Verizon TelecomPioneers 76th Beach
Blowout
September 24, 2010 – September 26, 2010 - Ocean
City, Maryland
Registration Form - Beach Bling
Donate items for Operation Shoebox for our
Troops - Phone Cards (International), Postage,
Writing Paper,
Batteries,
Disposable Cameras, Socks, Sunscreen ,
Playing cards, Games , New books and
magazines, Beef jerky
Please print or type:
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________________________________________________________________________________
First Name
Last Name
Name to appear on Name Tag
Address: _________________________________
E-Mail______________________@________________
Work Phone Number (
) __________________
Home Phone Number
(
) _________________
Members of your party:
First Name
Last Name
Name to appear on Name Tag
Annual Meeting –
Activities
Price
# in Party
Total
Sept. 25
Welcome Dinner
(Cash Bar)
$28.00
X
_______
=
______
I wish to be seated with _________________________________
(Tables of 10)
Please choose one meal per person:
1. Breast of
Chicken Oscar __________
2. Grilled Salmon _______
3. Vegetable
Primavera _____________
Sept. 26
Game Night
$10.00
X
_______
=
_______
Sept. 27
Life Member
Breakfast
$15.00
X
_______
=
_______
I wish to be seated with ________________________
(Tables of 10)
Tail Gate Party
(Food, Sodas & Beer) $16.00
X
_______
=
_______
Tot. Amt.
Encl
_______________
Check payable to:
TP-Maryland Chapter
Mail to:
Maryland
Chapter Pioneers
99 Shawan Rd., Room 200
Cockeysville, Maryland 210306
Registration Deadline is September 10, 2010
Registration packages can be picked up at the Dunes Manor
Hotel on Friday, September 24th from Noon–4:00
p.m. in the Hospitality Suite.
TICKETS WILL NOT BE MAILED.
For a room reservation at the Dunes Manor Hotel, 28st
St., Ocean City, Md., call the hotel directly on
800-523-2888 or (410) 289-1100.
Please give them the code Maryland
Pioneers to get the discounted rate. Hotel
reservation must be made by August 23, 2010 to
get the guaranteed discount rate.
You must attend one of the events above to get a
discounted room rate.
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