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2nd Tuesday Lunch for Seniors Registration Form <br />Please list names separately that will be included in your party. Addresses only necessary if requesting to have <br />tickets mailed. The names will also be listed at the check-in table. <br />Lunch Date: February 13 <br />Name: _________________________________________________________________________________ <br />Address: _______________________________________________________________________________ <br />City: __________________________________________________________Zip: _____________________ <br />Phone: ______________________________ Receive Ticket by: Mail Email <br />Email: _________________________________________________________________________________ <br />Lunch Date: February 13 <br />Name: _________________________________________________________________________________ <br />Address: _______________________________________________________________________________ <br />City: __________________________________________________________Zip: _____________________ <br />Phone: ______________________________ Receive Ticket by: Mail Email <br />Email: _________________________________________________________________________________ <br />Lunch Date: February 13 <br />Name: _________________________________________________________________________________ <br />Address: _______________________________________________________________________________ <br />City: __________________________________________________________Zip: _____________________ <br />Phone: ______________________________ Receive Ticket by: Mail Email <br />Email: _________________________________________________________________________________ <br />Lunch Date: February 13 <br />Name: _________________________________________________________________________________ <br />Address: _______________________________________________________________________________ <br />City: __________________________________________________________Zip: _____________________ <br />Phone: ______________________________ Receive Ticket by: Mail Email <br />Email: _________________________________________________________________________________ <br />Questions? Call 651-204-6000 <br />Please mail or bring this registration form to: <br />The City of Vadnais Heights <br />800 East County Road E <br />Vadnais Heights, MN 55127