Just print this registration form, complete it, and mail with full payment to the address below.

Mail this completed form with full payment to:
Al Malaikah Shrine 665 W. Jefferson Blvd., Los Angeles, CA 90007

LADIES LUNCHEON
Saturday MARCH 15th, 2008
Social hour will begin at 11am with lunch at approx 12 noon

Wilshire-Grand Hotel
930 Wilshire Blvd., Los Angeles
Your table assignment card will be available in the lobby

I want to order (number)_____ tickets @ $40.00 each = Total of $ _________

Name:__________________________________________________________
Address:______________________________________ City ______________
State _______________ Zip _________
Home Phone_____________________ Unit/Club________________________
Amount: Enclosed: $_____________