2011-2012 ORDER FORM
MAIL ORDER TO: KREWE DE LA FAMILLE
801 BAYOU PINES DRIVE
LAKE CHARLES, LA 70601
Attention: Gwen
NAME: ___________________________ PHONE: _________________
QUANTITY ITEM COST TOTAL
_________ 5OO Alum. Doubloons @$7S.00 _______
_________ Bronze Doubloons @$8.S0each _______
_________ Silver Doubloons @$SO.OOeach _______
_________ Mask Favors** @$28.00 each _______
Any mask ordered after deadline will be $35.00 each **Traditionally, our Krewe members give each guest couple our specially designed Krewe mask favor at the ball.
_________ Cups (24 pc roll) @$9.00 roll _______
_________ Krewe Outdoor Flag @6S.00each _______
_________ Krewe Cookbook @$2S.00 each _______
Total $ ___________
PLEASE ENCLOSE CHECK & SEND AS SOON AS POSSIBLE!
*****ORDER DEADLINE, December 15, 2011 *****
Do you have any Program children (Ages 8 through teens)
Name:________________________________ Age: ____________
Debutantes: (High School Senior or older - Never Married)
Name:________________________________ Age: ____________
Ushers: (18 years and over)
Name:________________________________ Age:_____________
I'd like to be in a skit. ______Yes _______No
It's a great way to make new friends and loads of fun!
Seating: There will be_____________ people seated at our table for the ball. Include in count.... you and your spouse--you may invite 2 other couples at no charge for a total of 6 people.
(Extra ball invitations are limited, but available at $150.00 per couple. Call 337-439-3205-Anne)
Optional------- Please consider our table being near our
friends_________________________________________________ | 
