PHOENIX MEMBER MIXER

(print, complete and fax to (602) 626-7590 to register)

WHEN: Wednesday, July 13, 2008

TIME:   5:30 PM

WHERE: Dave & Busters

2000 E. Rio Salado Parkway - Tempe

Tempe Market Place

Sponsored by Vista Professional Outdoor Lighting

 

REGISTRATION - $25.00

Company___________________________________ Phone____________________________

Member Names_______________________________________________________________

Enclosed is a check or credit authorization for the amount of $_________

Visa, MasterCard, or American Express (circle one)

Expiration Date ___________ Card Number ______________________________

Signature ________________________________

Need 24 hours cancellation to avoid being charged.