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  Mail to:
Twin Ports Ship Masters Lodge 12
P.O. Box 122, Superior, WI 54880

Checks payable to "Twin Ports Lodge 12".  


Name: ______________________________________________

Address: ____________________________________________

City: ____________________________________________

State/Province: _____________________________

Postal Code: _______________________________

Country:______________

Phone: (___)___________

Number of tickets: ___________ tickets are $10.00 (US) each or 3 for $25

Amount Enclosed: ___________

Drawing July 24, 2013

 

 



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