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4th Annual HDSA Orange County Affiliate

Strike Out HD Bowl-A-Thon

Saturday, August 2, 2008, from 12:00 – 3:00 pm

Register and Pay your fee(s) by July 26, 2008 and receive an additional
free raffle ticket for the Grand Prize Drawing!!! ($5.00 value)

Concourse Bowling Center
3364 E. La Palma
Anaheim, CA

 

Price:

  • $25.00 per person
  • $125.00 per team
  • $500.00 per lane

Includes:

  • 2 games of bowling
  • shoes
  • food
  • 1 raffle entry for Grand Prize
  • silent auction
  • food fun and friends

Additional Raffle Tickets:

  • 1 for $1.00
  • 12 for $10.00
  • 30 for $20.00
  • Grand Prize Raffle Tickets $5.00 each

 

                              

Registration

Early Payment of Registration is Encouraged and Rewarded.  Please provide the following contact information to register.

Name First Name 


Last Name

Address

Street Address 

Address – cont. 

City 

State 

Zip/Postal Code 

Country 

Phone numbers

Work Phone 

Home Phone 

Cell Phone 

E-mail E-Mail address 
 

My contact information has changed from last year. 

I am a new contact to the OC Affiliate. 

My preferred method to be contacted by an HDSA-OC representative for registration confirmation is:

 

Please select one or more of the following options: (hold down "Ctrl" button for multiple choices)

 

Comments (include the names of your preferred teammates and/or indicate sponsorship level)

 


Volunteer Opportunities: (hold down "Ctrl" button for multiple choices)


Comments:

 

     

Payment Options:

 

Credit Card:

http://www.firstgiving.com/bowlathon4

 

Check:

To ensure proper accounting, please make checks out to Huntington’s Disease Society of America.

Enter OC Bowl-A-Thon in the memo section on the front of your check.   

 

Mail checks to:   

HDSA-OC
c/o Jennifer Lockney
7 Starburst Court
Newport Beach, CA 92663-2111

 

 

  

Contact Jennifer Lockney for more Bowl-A-Thon Questions
(951) 907-4805 or email Jennifer.Lockney@yahoo.com