October 16-17, 2010 American Legion Post 154
236 Scottwood Ave, Elmira Heights, NY
NAME ________________________
Company Name ________________
ADDRESS ____________________
CITY _________________________ STATE ___________ ZIP ________
PHONE_________________________
#of tables @ $27 (6 foot tables) each ________
| $35 (8 foot tables) each ________
AMOUNT ENCLOSED ________
TABLES WILL CONSIST OF ___________________________________
SIGNATURE_______________________________
Your signature is required to reserve tables and constitutes your agreement to the rules and
agreement found under the "Rules and Agreement" link.
Payment MUST accompany reservation.
Mail completed application and payment to:
N.F.C.
83 Eckerson Ave.
Akron, NY 14001
__________________________________________________________________
Date__________ CK# _________ Tables assigned________________