19th Annual Joint Military Service Academies Ball

Sunday, 26 December 2004

Please Type Directly To This Screen Then Print Your Reply Card

Name:

Phone:

Address:

City:

Zip:

Name of Cadet / Mid (indicate Mr. or Ms.):

Service Academy / Military Affiliation:

Class Year:

$45.00 per person before December 1st or $50.00 per person after December 1st

Please Note:  Cadets / Mids must purchase seating

Enclosed is a check for  $      payable to WPPCGH for  reservations

Tables of ten only are available.  All reservations are final.

Seating priority based on date of reservation.

Seating requested with:

We are unable to attend the Ball, but enclosed is our donation of  $