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  Mail to:
ISMA Lodge #2
PO Box 611634
Port Huron, Mi 48061-1634

Make check or money order payable to ISMA Lodge #2.


Name: ______________________________________________

Address: ____________________________________________

City: _______________________________________________

State/Province: _____________________________

Postal Code: _______________________________

Country:______________

Phone: (___)___________

Number of tickets: ___________ tickets are  $10.00 (U.S. or CDN funds) per Ticket

Amount Enclosed: ___________

Drawing will take place March 3, 2012 at 10 p.m. at the Thomas Edison Inn in Port Huron Michigan

 




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