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REGISTRATION FORM Print this out and send it in 1. Name:_______________________________________________ Address:____________________________________________ Zip Code:_________________Phone:____________________ Index:____________________or Average Score:_________ 2. Name:_______________________________________________ Address:____________________________________________ Zip Code:_________________Phone:____________________ Index:____________________or Average Score:_________ 3. Name:_______________________________________________ Address:____________________________________________ Zip Code:_________________Phone:____________________ Index:____________________or Average Score:_________ 4. Name:_______________________________________________ Address:____________________________________________ Zip Code:_________________Phone:____________________ Index:____________________or Average Score:_________ (Lie on your index, because we are not going to use
it anyway!!!!!) SINGLES OK!!! make checks payable to: Good Stuff Restaurant Mailing Address: 1286 The Strand Hermosa Beach, CA 90254 Enclosed is my check or charge card for $__________ Credit card info: MC/VISA/AMEX/DISCOVER Name:______________________________________________ #__________________________________________________ Expiration date:___________________________________ |