FOURTH OF JULY PARTY REPLY FORM
[Print out and complete] 





Name:________________________________
Address:_________________________________________________
City, State, Zip:____________________________
Home # (in case we need to reach you): (   )   




Please indicate quanitity desired for each event.

Your name will be on a list for each event, along with the number you paid. 



Yacht Cruise _______ @ $45 each = __________

Sox Game __________  @ $22 each = __________

Clambake __________  @ $40 each = __________

                 Total Enclosed = __________

Clambake participants only: indicate T-shirt size (one per person)
	 ______ Large	__________ Extra-Large




Please make checks payable to: 	Jeff Havsy


C/O The Chicago 4th Bash
1120 N. LaSalle, #5G
Chicago, IL 60610



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