The Columbus Dental Society’s

Family and Friends night with the

Columbus Clippers

August 15, 2017 Huntington Park

Bring the family, friends, and your coworkers and join us for a night under the lights to cheer on the Columbus Clippers!

Dinner includes all your ballpark favorites:  Burgers, Hot Dogs, grilled Chicken with all the toppings, cole slaw, fruit salad and veggies.  Not to forget; cookies and popcorn, assorted soft drinks and bottled water.

Sponsored By:

 

Only $5 per adult/$2 per child (under 12)

Dinner 5:30pm//Game time 7:00pm

 

 

               

 

 

Family and Friends Night with the Columbus Clippers - August 15, 2017

Registration Form

 

Please register the following number of people for Family and Friends Night with the Columbus Clippers:

 

Number of Adults ___________ ($5 each)           Number of Youth under 12__________ ($2 each)

                                                                                                                               

Member Dentist Name:  ________________________________________________

 

Address: ____________________________________________________________

 

Phone: _________________________________     Email: ____________________________________

                                               

m My check in the amount of $__________ is enclosed.

m Please charge $_________ to my Visa/MC /Discover______________________________________

        Exp. Date: ____________          Security Code: _________          Billing zip code: ______________        

        Signature _______________________________________________

 

Fax registration with credit card to: (614) 895-0060 or mail with a check to:

Columbus Dental Society, 663 F Park Meadow Road, Westerville, OH  43081

 

Registration Deadline – August 11th

 

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