2007

 

 

Racing Against Cancer™

 

Jerry Nadeau

 

Dinner and Monte Carlo Night

 

Mail Order Ticket Order Form

 

 

Ticket orders will be confirmed via email and can be picked up at the entrance of the event

 

 ___________ ADULT Dinner Tickets @ $50 each (includes Buffet Dinner and Monte Carlo Night Entry)    ___________

 

___________ CHILD   Dinner Tickets @ $30 each (includes Buffet Dinner and Monte Carlo Night Entry)    ___________

(12 and under)

 

_________ Number of Monte Carlo Event Entry Only @ $20 each (Entry begins at 7:30 PM)                          _________

 

 

                                                                                                                                                                    Total Enclosed:  _________

 

NAME:                         _____________________________________________________________________

 

MAILING ADRESS: _____________________________________________________________________

                                   

                                      _____________________________________________________________________

           

E-MAIL ADDRESS: _______________________________________ PHONE: (           ) ______________

 

 

 

 

 

 

 

 

You will receive confirmation of your order via Email

 

 

Deadline for Dinner Ticket Purchase is June 21, 2007

 

 

Return this Form to:

 

Racing Against Cancer™

P.O. Box 1092

Westbrook, CT 06498

(860) 608-1885