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2012 "Kids Are Our Business" Breakfast
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Breakfast Table Captain Registration - 2012

Please complete this registration form if you would like to participate in the breakfast as a Table Captain. You may enter all of your guest names below, or if you prefer a PDF guest list form that you complete and mail to KCSARC please contact Alix Compton at acompton@kcsarc.org or 425.282.0331.

First Name: *

Last Name: *

Company:

Address :

City:

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Zip:

Phone: *

Email: *

Vegetarian Meal: *

Yes

No

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425.226.5062 KCSARC P.O. Box 300 Renton, WA 98057