2012 Annual Awards Banquet Where: Mr. G’s Restaurant & Lounge 708 Lincolnway West, Osceola, IN When: Saturday, February 16th, 2013 - 2 P.M. Cost: $15 per person in advance (Drinks not included) $20 at the door Deadline: February 12th, 2013 Reservation form and payment must be received by this date Meal: Polish Buffet (sausage and chicken) Reservations are required. Fill out form below and return with payment prior to the deadline to: Osceola Dragway 56328 Ash Rd. Osceola, IN 46561 (574) 674-8400 Names of Attendees Name: ________________________ Name:________________________ Name: ________________________ Name: _______________________ Name: ________________________ Name: _______________________ Name: ________________________ Name: _______________________ Contact telephone number ( ) ______- ___________ Number of persons attending ______ x $15 = $_______