Please Complete This Section Name (1)
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City, State, Zip
Pick Up Location S. Grand Creve Coeur Bayless Maryville St. Charles Florissant Guest Name (1)
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City, State, Zip Guest Pick Up Location S. Grand Creve Coeur Bayless Maryville St. Charles Florissant Prime Time Club Trips
Fireworks at Aztar Casino July 4-5 Member $140 dbl; $180 sgl; Guest $165 dbl No. of Reservations : Amount Due :
"My Fair Lady"-Lyceum Theatre July 21 (8:00 am - 7:00 pm) Member $77 Guest $87 No. of Reservations : Amount Due :
" -Conklin's Barn Theatre July 25 (7:30 am - 7:30 pm) Member $71 Guest $81 No. of Reservations : Amount Due :
"Promises, Promises"-Stages St. Louis August 1 (11:00 am - 5:00 pm) Member $77 Guest $87 No. of Reservations : Amount Due : St. Louis Brews August 5 (8:30 am - 5:00 pm) Member $67 Guest $77 No. of Reservations : Amount Due : Treasures of the Vatican August 18 (8:00 am - 5:00 pm) Member $68 Guest $78 No. of Reservations : Amount Due :
Bingo - Swansea, IL August 31 (10:00 am - 5:00 pm) Member $42 Guest $47 No. of Reservations : Amount Due :
Pulaski Prime Time Picnic/Party September 7 (11:00 am - 3:00 pm) Member $7 Guest $15 No. of Reservations : Amount Due :
and Pontiac, IL September 15-17 Member $340 dbl; $420 sgl; Guest $365 No. of Reservations : Amount Due :
"State Fair"-Stages St. Louis September 22 (10:00 am - 5:00 pm) Member $79 Guest $89 No. of Reservations : Amount Due :
Historic Sites & Bluff Top Delights September 30 (7:00 am - 5:30 pm) Member $75 Guest $85 No. of Reservations : Amount Due :
"Church Basement Ladies One" October 6 (7:30 am - 7:30 pm) Member $73 Guest $83 No. of Reservations : Amount Due :
Warm Springs Ranch-Booneville, MO October 16 (7:30 am - 6:30 pm) Member $67 Guest $77 No. of Reservations : Amount Due :
"Cornet Chop Suey"-The Sheldon Concert Hall October 20 (7:30 am - 2:30 pm) Member $56 Guest $66 No. of Reservations : Amount Due :
Halloween Bingo October 29 (11:00 am - 3:00 pm) Member $25 Guest $30 No. of Reservations : Amount Due :
Historic Route 66 Tour November 3 (7:30 am - 7:00 pm) Member $55 Guest $65 No. of Reservations : Amount Due :
Behind the Scenes Two November 9 (7:30 am - 6:00 pm) Member $60 Guest $70 No. of Reservations : Amount Due :
Tombstones to Our Past November 16 (8:00 am - 5:00 pm) Member $60 Guest $70 No. of Reservations : Amount Due :
Christmas in Atlanta November 27-December 1 Member $695 dbl; $860 sgl; Guest $720 No. of Reservations : Amount Due :
Holiday Mystery Tour December 7 (7:30 am - 7:30 pm) Member $68 Guest $78 No. of Reservations : Amount Due :
Holiday Party & Gift Exchange December 10 (11:00 am - 3:00 pm) Member $25 Guest $30 No. of Reservations : Amount Due :
Christmas with "" December 12 (10:30 am - 6:00 pm) Member $73 Guest $83 No. of Reservations : Amount Due :
EVERYONE MUST SEND IN A RESERVATION FORM. RESERVATIONS WILL NOT BE TAKEN OVER THE PHONE. TRIPS WILL BE LOGGED IN THE ORDER THE RESERVATION FORMS ARE RECEIVED. Reservations and payment for trips may be made now to ensure your trip validation. If reservation only is made now, your payment must be received by payment due date to validate your reservation, or people on the waiting list will be contacted. Payments may be made online by credit card or make check payable to PULASKI BANK and mail to: PULASKI BANK PRIME TIME CLUB, 12300 Olive Blvd., St. Louis, MO 63141-6434. We wish to participate in the trips as marked above. The parties shown above, by submitting payment for the trips, hereby release and agree to indemnify and hold harmless Pulaski Bank, and all its officers, directors, employees, agents, representatives, successors, and release Pulaski Bank to the fullest extent allowed by law, from any and all claims, injuries, damages, which we may incur or suffer as a result of our participation in any Pulaski Prime Time activities, including, but without limiting the foregoing, those occasioned by reason of a defect in any vehicle or negligence of any person engaged in carrying out the arrangements of Pulaski Prime Time tours, trips or other events.
