Christmas Open House & 2011 VA Debutante Ball
Saturday November 19th
The Tides Inn, Irvington VA
5pm to 9pm
DEBUTANTE/VENDOR REGISTRATION FORM (Please print, complete and mail to the address below)
Name________________________Name of Business if applicable__________________________
Address_________________________________________________________________________________________________________________
Age_________(Debutantes only)
Phone_____________________________________ Email_______________________________
Hobbies & Interests (Debutantes only) _______________________________________________________________________________________________________________________________________________________________________________
Signature of parent or guardian__________________________(Debutantes only)
*Vendors & Debutantes include a $50 Registration fee due no later than October Nov 14th ,Guests tickets will be available in advance upon receipt of registration.
Debutantes will also participate in our annual “Secret Santa Fundraiser” (fundraiser dates are Oct. 25th to Nov 15th )
Additional information will be sent upon receipt of your registration. Please mail checks or cashiers checks made payable to:
Ralphann Forrest P.O. Box 382, Mathews, VA 23109
Please contact me if you have any questions (804) 384-7160 or ralphannf@aol.com
