Registration for Rose Petal Ceremony & Luncheon $25.00
November 10, 10:30 am at the Keeter Center, College of the Ozarks
Name: ________________________________No. in Party____________
Address: ____________________________________________________
City, State, Zip________________________________________________
Email:_______________________________________________
Phone:_______________________
Payment Method: Check_______ Visa _______ MasterCard______
If paying by credit card:
Name on Card_____________________________________________________________
Billing Adress:________________________________
________________________________________________________________
Expiration Date: ________________________________________ 3-Digit-
Code:____________
Amount to be Charged: ____________________________________
Mail to:
Women Veterans Committee/BVTF
Attn: Barb Riggle
P.O. Box 128
Branson, MO 65615
If paying by credit card, you may fax completed form to:
Branson Veterans Task Force at above address
or
email Barb Riggle at babsriggle@suddenlink.net
