BELGIAN SHEEPDOG CLUB OF AMERICA

2009 Award Banquet Reservation Form

Saturday, May 2, 2009

The meal will be presented buffet style – main dishes will be posted on the website. The price is

Adults (13 Years and older):$ 40.00 per dinner;

Children 11-12 $25.00;

Children 5-10 $20;

Children <5 free;

Paid in advance. No refunds will be issued for any reason. No reservations will be accepted after the deadline. The deadline for reservations is Wednesday, April 1, 2009.

YES! I’m coming to the banquet!

# Adults Attending:_____________________ x $ 40.00= $________

11-12 children:_________________________ x $25.00 = $________

5-10 children:__________________________ x $20.00 = $________

Name:__________________________________________________

Address:_________________________________________________

Name:__________________________________________________

Address:_________________________________________________

Name:__________________________________________________

Address:_________________________________________________

Total Enclosed $___________

Please make your check/money order payable to :

BSCA

Please mail completed form & Payment to:

BSCA

c/o Marion Heise

200 River Street

Avon, NY 14414-1112

Please contact Marion at This e-mail address is being protected from spam bots, you need JavaScript enabled to view it or (585) 226-9242 for specific questions or requirements related to the banquet.