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: $_____________