Rev & Roll Suggestion Form  

 

BK PA XVI Rev-n-Roll Suggestion

Use this form to make a suggestion on where you think the Chapter should roll to for a bit of cheer and good time!  You pick the location, and the route.  We will follow where you lead us!

Email:  tprwho@roadlynx.net     or     wddr@bentcom.net

Email, or mail this form to us, and we’ll plug it into the schedule.  We’re looking forward to hearing from you!

 

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Member’s name:______________________________ Phone:________________

  Destination:_______________________________________________________

        Departing from:______________________ at what time?___________________

   Date you want to go:__________________  Cost:_________________________

  Additional Information:_______________________________________________

    __________________________________________________________________  

Blue Knights – PAXVI
PO Box 422
Eighty Four, PA 15330

 Form may also be dropped of at the monthly meeting