Annual
Steak & Chicken Fry

Saturday Sept 1st, 2012 - Begin at 5:00p

Fill out the form below.
Click submit button to reserve your dinner (s).

After clicking submit you will receive a confirmation page.

Print this page twice, send one copy with your check to the address below. Keep one copy for your receipt/records.

Five Season Cluster
% Steak/Chicken Fry
6708 92nd Avenue West
Taylor Ridge, IL 61284
Steak-Chicken-Fry@tricitykennelclub.com

Steak & Chicken Fry Order Form

   
Name:
 
   
Address:
 
   
City:
 
   
State:
 
   
Zip Code:
 
   
Phone:
 
   
E-mail:
(A valid e-mail is required)
   
How Many Chicken:
$13.00 per plate.
   
How Many Steak:
$16.00 per plate.


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