Scholarship Dinner Mail Form

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ENTER, PRINT AND MAIL THIS FORM (This is not an automated form)

 1. Dinner Reservations
# of Guests: ($45 per person) $
ATTENDEES:   
 2. Additional Scholarship Donation:
All proceeds go directly to local men and women striving for a career in aviation: $
 3. Enter your personal information:
Name:
Street:
City:   State:   Zip: 
Phone:
Email:
GRAND TOTAL including Dinner and Donation: $

Send check and this printed form to:
Aero Club of PA Memorial Scholarship Fund, PO Box 748, Blue Bell, PA 19422