Southwest Illinois Home Builders Association Political Action Committee Warmly invites you to the Government Official Reception A private pre-party event to meet with local Government Officials From 5pm to 6:30 pm Friday, January 27, 2017 Four Pointes by Sheraton 319 Fountains Parkway, Fairview Heights Open bar and hors d’oeuvres Please respond before January 20, 2017 Send to: HBA, 6100 W. Main St., Maryville, IL 62062 - fax (618) 343-6335 - ph (618) 343-6331 Name(s): ___________________________________________________________________ Company: __________________________________________________________________ Number of Reservations: ___ @ $100 for individuals ___ @ $150 for couples Total Amount Paid: $ ________ Payment by check enclosed ___ Please bill me ___ If you would like to pay by credit card, please complete the following: Visa/Mastercard Card Number: ___________________________________________ credit card payments will include an additional 4% convenience fee Exp. Date: _______ Signature ________________________ 2
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