Please Leave this form with Payment (to POENB) in the PONEB BOX in the Firehouse Parking Lot

Name:_________________________________________  Phone:________________________

Address:______________________________________________________________________

No. Adult TIX@$10each:_____ No. Kids TIX@$5each_____ Enclosed:$__________________

Enter a CHILI (DISH NAME):_____________________________________________________

Enter a CHOWDER (DISH NAME):________________________________________________

       Please Bring Your CHILI or CHOWDER to the Beach HOT no Later Than 2:45PM

Volunteer to Set-up_____ Clean-Up______ Bring Dessert______ Serve at Event_____Crafts____

          In Case of rain Location Firehouse - Members and Non-Resident Guests Only

             Please Bring Table and Chairs if Possible - No Early Table Saving Please