5th Annual Halloween Bash
Location 1113 Sam Rittenberg- Elks Club
Friday, October 30th, 2009
8:30pm-1:00am
Tickets are $10.00 Per Person
Click here to Download the Purchase Form
Fax confidential form without cover sheet to 843-202-8851.
Your credit card will be billed and your names will be put on the list.
The credit card statement will show Dr. Jim Richart Dentistry.
You can also mail this form with a check to:
Jim Richart
1164-A Northbridge Ave.
Charleston, SC 29407
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