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 Roger LeGros
   4331 East Del Oro Way
   Long Beach, CA  90815

   All payments must be received by May 19, 2008 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

______

$53

 ___________
Table of Ten

______

$495

 ___________
Children, Age 2 - 12, Hotdog Meal

______

$10

 ___________
       
Grand Total     ___________

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