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2016 BACDS Fall Ball Registration

Name on Button   
Street Address   
Telephone:    (with area code)

Registrants will receive a preliminary roster to personally arrange your Transportation and Hospitaliy.
Please do NOT publish my name   street address   city, state, zip   phone   e-mail

Housing survey:

Optional Buffet Dinner: Middle Eastern cuisine prepared by SUNRISE DELI, San Francisco (see details below).

This event depends on the help of VOLUNTEERS!  If you would like to pitch in, please tell us!
        I will help day of the Ball   week of the ball    other

I will submit payment   by mail, postmarked by November 4     at the door (after November 4)
I will attend the  (see cancellation policy below)
Buffet Dinner  (or choose "no buffet")
Your tax-deductible donation to BACDS is appreciated!  

Mail your check (payable to BACDS) with this form to:
Fall Ball c/o Loretta Reid, 879 Loma Verde Ave, Palo Alto 94303-4115

Optional Buffet

Dinner: $20 prepaid with your registration or $25 after November 4. Before the Ball, comfortably share your evening mealtime in the Finnish Hall with our community. Fresh Middle Eastern cuisine, prepared by Sunrise Deli, San Francisco (, will thoughtfully accommodate omnivores, vegetarians and vegans, alike.

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Cancellation policy:

After November 4, $10 will be deducted from your refund. Exceptions may be made in cases of unusual circumstances.

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