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Skyland Pines Rustic Lodge
Wednesday April 22, 2009
$250- Includes 2 Dinners and Drinks
Steak or Veggie
Only 100 Tickets Sold
$10,000 Grand Prize
Call For More Information
330-455-0374

Please send this form to:
Community Services of Stark County, Inc.
625 Cleveland Ave NW
Canton, Ohio 44702


Dinner 1                       Steak                        Steak

Veggie

        Name ________________________________________________________________

 

        Address ______________________________________________________________

 

        City _____________________________ State ____________ Zip ________________

      Please make checks payable to Community Services
      or charge to my credit card
                      Mastercard    Visa       Exp. Date ______/______


                     Card Number _________-_________-_________-________


                      Signature_________________________________________


     Community Services is a 501(c)(3) not-for-profit organization. Contributions
      are tax deductible as allowable by law.