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Registration Form for the May Breakfast with David Baldacci
on Saturday, May 10, 2003


Please print, complete and mail to the address below.
Please send me tickets to the May Breakfast with David Baldacci
I enclose a check payable to the Providence Public Library for $
Name
Street Address
City
State
Zip code
Phone Number
E-mail Address

Please make checks payable to Providence Public Library
and send this form with payment by May 1, 2003 to:
Fox Point Branch, Providence Public Library, 90 Ives Street, Providence, RI 02906
Your tickets will be mailed to you.