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Jack's Corner

        Pour Les Enfants Reservations 2019
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I wish to make reservations to attend
Pour Les Enfants 2019 on November 21, 2019


All reservations must be received by November 16, 2019

All fields are required

First Name
Last Name
Address
City
State
Zip
Phone
Email Address
Reservations
Quantity
People to be Seated at Table
(please enter one per line, limit 8)
 

By submitting this registration form, I agree to pay reservation fee chosen above.

 

 

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Children's Advocacy Centers

Garth House
Mickey Mehaffy Children's Advocacy Program, Inc.
(409) 838-9084

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