Name(s):  
Address:  
City, State  
Zip:  
Phone:  
eMail:  
Please Charge My Credit Card.
Amount: $150.00
Number:  
Expiration: /
Reservations due by April 10th. Contributions in excess of $30 for each dinner served are deductible as charitable contributions.

     Individual Hoedown Ticket(s)

(2 Hoedown tickets, Patron Party, Patron Recognition)

(6 Hoedown tickets, Reserved table for 6, Patron Party, Patron Recognition.)

(10 Hoedown tickets, Reserved table for 10, Patron Party, Patron Recognition.)

(10 Hoedown tickets, Reserved table for 10, Patron Party, Patron Recognition.)

(10 Hoedown tickets, Reserved table for 10, Patron Party, Patron Recognition, Acknowledgement on Invitation.)

    $
If you are becoming a Patron, what name(s) do you want listed in the printed program and publicity?
 
 
Questions? Contact Tish Stuart, 918/746-2614