Registration and Order Form - Annual OAC Braai 21 August 2011 

Please complete the registration form. Include $10.00 per person over 18 and $5.00 per child ages 3 to 18 or $25per family of four and more, and add the amount for any food orders.  Make your check out to “Out of Africa Club” and mail to O.A.C.  P.O. Box 5702, Bellevue, WA 98006

Name(s):__________________________________________________________________________________

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Street Address: _______________________________________City__________________________________

State, and Zip: _______________Telephone:____________________E-mail___________________________