2006 American Chesapeake National Specialty
“Celebrate Our Future”
Reservations and payment must be received no later than
Friday - September 8, 2006
Please make checks payable to “American Chesapeake Club”.

Please complete and mail the following reservation form to:

Mary F. Davis
Hospitality Chair
2006 ACC National Specialty
1623 CR 2500 E
Ogden, IL  61859
Email Questions:  bigdogmom1960@yahoo.com

Name:_________________________________________
Address:_________________________________________
__________________ST:_____Zip Code:______
Phone:_________________________________________
Email:_________________________________________

Thursday, September 28
Pizza Buffet
$15 per person_______ X $15 =  ________

Friday, September 29
Maui Wowie Luau
$21 per person_______ X  $21 = ________

Saturday, September 30
Finale Banquet
Chicken Wellington - $33  _______ X  $33 = ________

Beef Medallion Tips - $43  _______ X  $43 = ________

Priority Reserved Table for 8 _______ X  $20 = ________
to benefit CBR Rescue

Total Amount Due:$_______