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BROWN BAG RESERVATION FORM

NAME _____________________________________

TELEPHONE ________________________________

ADDRESS ___________________________________

PLEASE CHECK FOR SANDWICH CHOICE:

TURKEY ___________

HAM __________

(If ordering more than one sandwich, indicate the quantity of each in the selection choice above.)

ENCLOSED IS MY CHECK FOR $ ___________FOR __________ LUNCH(ES). EACH LUNCH IS $5.00 Your reservation and check must be received no later than Monday January 17, 2000.

Send to: LWVDC, 733 15TH Street, NW, #432, Washington, DC 20005-6020 Attn: Upper Sixteenth Street Unit.


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