The Lincoln Place Heritage Association is an Illinois not-for-profit corporation
Donations are tax deductable for Illinois taxes

For more information or to reserve a table, contact Lincoln Place Heritage
Assocation at 618.451.2611

To register, please print and fill out this form, then mail, along with payment to:

Lincoln Place Heritage Association
P.O. Box 476
Granite City, IL 62040

TRIVIA NIGHT July 27, 2015
Granite City Township Hall . 2060 Delmar Avenue

Name____________________________________________________

Address __________________________________________________

Phone Number _______________________________

Number of People_________  Number of Tables __________

Total Donation $______________________