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 Please print, fill in and mail to:
L.I.T.U.; c/o Tom LoProto; 68 Murray Drive; Westbury, NY 11590; 516-385-8655
Postmark by March 24, 2008 for automatic entry into Early Bird Raffle

ORDER BANQUET TICKETS
PLEASE PRINT

I wish to purchase ______ banquet tickets at $60.00 each. 

Your Name: ___________________________________________________________________

Address: ______________________________________________________________________

City: _____________________________________ State: ________  Zip: __________________

Phone Number: ________________________________________________________________

E-mail Address: ________________________________________________________________

My Guests are: ________________________________________________________________

 _____________________________________________________________________________

 _____________________________________________________________________________

Seat me with: __________________________________________________________________

 ÿ  I am unable to attend the banquet but would like to make a $_______ donation to help support Long Island Trout Unlimited's conservation efforts.

 Make your check payable to Long Island Trout Unlimited.

Mail this order to:
  L.I.T.U.; c/o Tom LoProto; 68 Murray Drive; Westbury, NY 11590; 516-385-8655
    Postmark by March 12, 2007 for automatic entry into Early Bird Raffle

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