Awards Banquet Tickets

Print this page and complete all fields. Mail the completed page along with a cheque payable to Nature London to:

Gail McNeil

Nature London Membership Secretary

806 Notre Dame Drive

London, Ontario N6J 3C1

Name _______________________________________________________________

Address _____________________________________________________________

Phone _____________________

Email _____________________________________________

How many tickets @$50? _____

Total payment _______

Specify number of each food choice:

Turkey with Stuffing ___ Vegetarian ___ Turkey without Stuffing (gluten-free) ___