Verne W. Critz

Retirement Party

Honoring

Jeanne Steck

Wednesday, June 19, 2013

6:00 p.m. - 10:00 p.m.

at the

Bellport Country Club

$60.00 per person

includes

Dinner

Soda

Cash Bar

DJ

Gift

Money due by Friday, May 17, 2013

Name(s): ___________________________________________

Number of Guests _____ @ $60 per person

Unable to attend but would like to contribute to the gift: ______

Total amount of check enclosed $ ______

Make check payable to:

Verne W. Critz Faculty Club

Send to:

Debra Poore

Verne W. Critz Primary School

185 N Dunton Ave

East Patchogue, NY 11772

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