Name ______________________________________               Phone___________________

 Address_______________________________________________________________________

 City______________________ State____________ Zip______________

E-mail_______________________________________________________

I / We enclose $____________ for ________  @ $12 each (before 3/31/09)/  $15 for Friday Welcome Dance.

I / We enclose $____________ for ________  @ $18 each (before 3/31/09) / $20 each for Saturday Ball.

TOTAL            $______________

 Return this form to: Eilean D. Yates, 1223 New Crest Lane, Shelby, NC 28150-9782