Name:
Address:
City:
State:
Zip:
Phone:
E -mail:
Attending:

Payment Using A Secure Server:

We accept Visa, MasterCard, Discover

Card:   *

Cardholder Name:   *

Card Number:   *

Card ID Number:   * What is this?

Expiration Date:   / *

Seating will be Assigned ( 8 per table )
please indicate if you have a preference

PLEASE RSVP BY DECEMBER 7, 2009

Make Checks Payable to:
Baue Funeral Homes
Mail to:
Baue Community Services
620 Jefferson Street
St.Charles, MO 63301

You may also Register online
at www.baue.com
For more information, call
Elizabeth King at Baue Community
Services at 636-946-4042