6:00 - 9:30 pm

Willow Oaks Country Club
6228 Forest Hill Avenue 
Richmond, Virginia 23225


	#_____ Members & spouse/date @ $32/ea, #____Guests @ $35/ea = $________Total

	Name ________________________________________________________________

	Name ________________________________________________________________

	Name ________________________________________________________________

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        Mail To:                                                             

        Bruce Venter                              Questions call Bruce:       
        2315 Bexley Wood Run                      703-785-4373 (mobile)       
        Goochland, VA 23063