Southern California LSU Alumni

    Crawfish Boil

  Sign Up Form for Check Payments

   Please print and mail with your check to:
   Southern California LSU Alumni Association
   c/o Sara Watson
   928 N. San Fernando #J230
   Burbank, CA  91504

   All payments must be received by April 30, 2012 and are subject to the Crawfish Boil Terms.

   If you'd rather pay by paypal, click here.

    Name______________________________________________________________________

   Address___________________________________________________________________

   City, State, Zip__________________________________________________________

   Home Phone__________________________Work Phone____________________________

   Email Address_____________________________________________________________
Item

Quantity

Price

    Total
       
Membership Dues

______

$20

 ___________
Adult Ticket

______

$48

 ___________
Table of Ten

______

$450

___________
Children, Age 2 - 12, Hotdog Meal

______

$10

 ___________
       
Grand Total     ___________

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