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Complete and return form with check made payable to LWVDC before Friday, April 16 to

LWVDC, 733 15th St., NW, #432, Washington, DC 20005-6020

84th ANNUAL DINNER MEETING
APRIL 22, 2004
RESERVATION FORM

Please reserve ______ dinners at $30 per person. I enclose $__________.

Name _________________________________________________________________

Tel. no. ________________________________________________________________

Names of guests _________________________________________________________

______________________________________________________________________

______________________________________________________________________


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