CAC 2008 REUNION ORDER FORM
Riviera Hotel/Casino Las Vegas, Nevada
June 11, 2008

Number of Tickets You Wish to Order ____ 
(Below, please list the name of each person who will be using the tickets)

PRINT NAME CLEARLY SO NAME WILL BE CORRECT ON BADGE

____________________________________________________

____________________________________________________

____________________________________________________

____________________________________________________

 $75.00 per ticket for members to DINNER and AWARDS CEREMONY
The Tuesday night blowout  is not included.
NOTE THAT IN 2008 PRICES FOR THE BLOWOUT ARE AS FOLLOWS:
$15 with a banquet ticket or $20 without a banquet ticket
The fee will be collected when you receive your name badge at check in.

 *Non-Members pay $100.00, which includes a 1-year membership to the CAC
Only one Non-Member charge per Immediate family is necessary

Enclosed is a check in the amount of ______

Or charge my credit card in the amount of __________ for _____ tickets.

Circle one:              or         

CC # _____________________________________ Exp. Date ________

Cardholder's Name (print) ____________________________________

Cardholder's Signature __________________________________________

PRINT and MAIL TO:
CAULIFLOWER ALLEY CLUB, HCR 33, BOX 107, ROLLA MO 65401
OR FAX TO: 1-573-729-7998