Printer friendly form to order tickets
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TICKETS TO THE EVENT |
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$85 now thru 9/4/08 - $100 after PER Ticket includes: Dinner and Dancing, Silent Auction, Live Auction, Cash Bar |
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2008 Bark & Boogie Ball PLEASE RESERVE THE FOLLOWING FOR ME: |
| Company Name: | ||
| Street Address: | ||
| City: | State: | Zip: |
| Phone: | ||
| Individual Name: | ||
| E-mail: | ||
| Sponsorship Opportunities: |
| Date: |
| Choose a sponsorship level | ||
|---|---|---|
| $100 | Puppy Patron | |
| $250 | Bulldog Benefactor | |
| $500 | Mastiff Medallion | |
| $1,000 |
Siberian Husky Silver |
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| $2,500 | Pyrenees Platinum | |
| $5,000 | Dalmatian Diamond | |
| $10,000 |
Great Dane Crown Jewel |
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| $ | Other amount | |
| Advertising in Program | ||
|---|---|---|
| $75 | Half Page | |
| $150 | Full Page | |
| $85 thru 9/4/08 or $100 after for each-Ticket (s) to the event | |
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Reserved Table-12 seats = $1000 thru 9/4/08 or $1100 after (discounted) |
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| Paid by Company | |
| Individual Check |
| Payment Options | |
|---|---|
| Check made payable to Humane Society of Forsyth County $ | |
| Charge Card: Master Card | |
| Charge Card: Visa | |
| Charge Card: Discover | |
| Card Number: |
Exp. Date |
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Card security code (3 digits on back) |
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Credit Card Billing Information |
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Name as it appears on card: |
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| Name: | ||
| Phone: | ||
| Street Address: | ||
| City: | State: | Zip: |
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Signature of Customer: |
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Solicited By (HSFC Volunteer): |
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PLEASE MAIL TO: Debbie Booth, Co-chair BBB 2007 8080 Thunder River Way, Suite 100 Cumming, GA 30028 Phone 770-886-5908, fax 770-886-5910 |
**Please make any notations on the back.