Broward: Mom's Celebration Luncheon - Autism Society

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----- Forwarded Message ----To: deniseslist@...Sent: Thu, May 13, 2010 10:44:28 AMSubject: Mom's Celebration Luncheon - Autism Society

☼ MELODY OF LIFE ☼

An event in celebration of Moms

Sponsored and Organized by

Autism Society of Broward

Ticket Order Form

Name of Mom: ________________________________

Proud mom of: _________________________________

Son/Daughter’s age: _________________________

Address: __________________________________________________

City: _______________ State: _________ Zip: ______________

Phone: _________________E-mail: __________________________________

Investment: $10.

(Must be ASA Broward Chapter member to participate)

Lunch consists of:

1st Course: Caesar Salad or Greek Salad

2nd Course: Twin Hawaiian Chicken Breasts or

Grilled Salmon Filet or Cheeseburger or

Chicken Salad Pocket or Chicken Parmigiana

3rd Course: Key Lime Pie or Ice Cream with

Chocolate Sauce

Iced Tea, Soda or Coffee

Date: Saturday, June 5th, 2010

12:00-2:00 PM

Location: Beverly Hills Café

10001 Cleary Blvd, Plantation , FL 33324

Registration: Please send this form filled out

by email to fabiola@... to reserve

your seats. First come, first served. Seats limited!

Great raffle items will be shared!!!!!

asabroward.org

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Mom's