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<strong>February</strong> <strong>2010</strong> 2/2/10 9:02 AM Page 27<br />
<strong>Mocha</strong> Potentates Dinner & Ball<br />
Saturday April 24, <strong>2010</strong><br />
London Hilton<br />
Reception 5:00 PM<br />
Dinner 6:45 PM<br />
Sunday Breakfast available at <strong>Mocha</strong> 8:30 AM<br />
Please respond no later than April 9, <strong>2010</strong><br />
Number of Tickets ______________ @$75.00 per person<br />
Breakfast ________________ @$10.00 per person<br />
Name<br />
_________________________________________<br />
Temple, Club or Unit Office___________________________________<br />
Name of Wife or Guest<br />
___________________________________<br />
Telephone________________Email_______________________________<br />
Enclose cheque payable to – <strong>Mocha</strong> <strong>Shriners</strong><br />
Total enclosed____________<br />
Special meal needs ___________________________<br />
RSVP by April 9, <strong>2010</strong> to<br />
<strong>Mocha</strong> <strong>Shriners</strong><br />
468 Colborne Street London ON N6B 2T3<br />
Phone 519 672-1391<br />
mochashriners@rogers.com<br />
Your tickets and table assignments will be held at the door for pickup<br />
Tickets will NOT be sold at the door<br />
MOCHA NEWS <strong>February</strong> <strong>2010</strong> Page 27
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