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ANNUAL Thursday, November 1st 5pm Happy Hour ~ 6pm Trivia Start VFW Post 5691, 1234 Vandalia, Collinsville Trivia & Dinner $25 each Chicken dinner with all the fixings, including 2 FREE drinks Put your useless knowledge to work! 7 rounds of friendly music trivia ~ Prizes for BEST Halloween costumes 1st , 2nd & 3rd Place CASH prize ~ Door Prizes _________________________________________________________________________________________________________________ Primary Contact / Company Name _________________________________________________________________________________________________________________ Phone # / Email Address _________________________________________________________________________________________________________________ Player Names 8 person team ___ $200 METHOD OF PAYMENT: ___ Check Enclosed Individual participants ___ $25 each ___ Invoice Member Company Door Prize Donation ___ ___ Charge to Visa/Mastercard ** credit card payments will include an additional 4% convenience fee Card# ___________________________________________ Exp Date ____________ Signature___________________________________ Cancellation will be accepted 3 days prior to TRIVIA NIGHT . No refunds or credits will be given for cancellations or no-shows. Home Builders Association of Greater Southwest Illinois 6100 West Main St., Maryville, IL 62062 Office: (618) 343-6331 - Fax: (618)343-6335 - Email: hba@hbaswil.org 14

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