PLEASE RETURN WITH CHECK BY JULY 17, 2013

NAME:

ADDRESS:

CITY/STATE/ZIP:

HOME PHONE: WORK/CELL #:

EMAIL:

EMPLOYER: OCCUPATION:

_____ Number of reservations @ $15 each = _____ Enclosed Payment_____ Number of children 12 & under at no charge_____ Sponsorships: $100 which includes 2 tickets to event, name in program and in Party Talk Sponsor Name Listed As: _________________________________________________________________ Please add $24 to my registration for T.A.R.G.E.T. membership so I can help keep Republicans elected in Greene County!

Make check payable to T.A.R.G.E.T. and mail to:Republican Headquarters, 1345 E. Sunshine, Ste. 102, Springfield, MO 65804, Phone/Fax: 417.823.9130

Purchase tickets and T.A.R.G.E.T. membership online at http://tinyurl.com/lyqb49oPaid for by Greene County Republican Central Committee, Justin Hill, Treasurer

#Cut and mail with check to TARGET, 1345 E. Sunshine, Ste. 102, Springfield MO 65804

featuring the very best bbq prepared by our very ownPETE STAYTON & LARRY COLE OF CORNERSTONE HEATLHCARE

Target BBQsaturday, JULY ,

: pm - Northview Center at Doling Park

e. talmage, springfield Cost: $ per person

children under free

A Greene County Tradition