Payment Due by September 20, 2015

Event Date Monday October 12, 2015

PARTICIPATE IN BRIDGE, DOMINOES OR ANY CARD GAME YOU WANT

DINNER OFFERED FOR AN ADDITIONAL PRICE OF $15.00

DOOR PRIZES & SILENT AUCTION

REGISTRATION FORM - Please provide the information (Name, Address, Phone) for at least one player above or print the registration form and provide it as described. If applying online for more than one person, please complete the information for each individual and purchase the quantity desired. Price (as well as dinner) is per person.

DONATE ITEM(S) FOR SILENT AUCTION (100% Tax Ded.) Such as: Merchandise; Gift Cards; Money Donations

If not paying through PayPal then please remit check w/registration form to:

NOTE: CALL CHARLENE TO SCHEDULE PICK UP OF DONATED SILENT AUCTION ITEMS

PUGS U GOTTA SAVE

Attn: Charlene Moss, President

P.O. BOX 1810

Chesterfield, Virginia 23832

pugsaved@pugsugottasave.org

CELL-804-337-6134 ; FAX: 804-743-0515

OR

REGISTER ONLINE ABOVE & PAY using PAYPAL or any of the 4 MAJOR CREDIT CARDS via PAYPAL