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Confrérie de la Chaîne des Rôtisseurs
Monterey Peninsula Bailliage
Print this form and mail with your check to: Attention: Jackie, Chaîne Bookkeeper
706 Forest Avenue, Pacific Grove, California 93950, Telephone 831.372.3877, extension 104
Bastille Day Picnic 2016, Sunday July 17th, Noon, Carmel Valley Ranch
Monterey Chapter Members/Spouse $125 per person
Non Monterey Members/Additional Guests $150 per person
Please print your name(s) _______________________________________
Please make your check payable to: CHAINE
or
For your convenience, we accept Visa or MasterCard. Please indicate:
Card Number
______________________________
 Visa
Signature Code
 MasterCard $ ________________
______
Expiration Date
Signature _____________________________
Additionally your payment can be completed on-line at our website
www.ChaineMonterey.org/event-payment
Merci, Bon Appetit!
_____________