LEBANON AMERICAN CLUB

SCHOLARSHIP DINNER PROGRAM BOOK FORM

Please check your choice of Ad size:
Full pg.

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$140

Half pg.

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$75

Quarter pg.

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$40

Name: ___________________________________________
Address: __________________________________________
Street:___________________________________________
City: _______________________ State _____________ Zip-code_________________
Phone:______________________ Email: _____________________________
We ask that you email your camera ready ad copy to: LebanonClub@att.net, NO LATER
THAN May 25, 2015. (Please state the size of the ad in your email.)
Message: please use this option only if you cannot provide camera ready copy or state
use the same as last year.
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Make checks payable to: Lebanon American Club (LAC) & Mail your check by May 25,
2015 to:
Ghassan Najm
LAC Scholarship Committee
22 West Street
Danbury, CT 08610

If you have any questions, please contact Ghassan Najm at 860-488-0074.

The Scholarship Dinner will be at the Amber Room Colonnade

on Wednesday, June 10th
Cocktails at 6:00 P M, Dinner at 7:00 PM Dinner Choices: Chicken Francaise, Grilled Salmon or
Prime Rib ($50.00 Per person - cash bar). Formal Invitations have been mailed and dinner
reservations required by June 1st: Please contact Ghassan & Betty Najm at 860-488-0074
with any questions.