Print this form and mail with your payment by July 7th to reserve your seat.
Please reserve _____ seats at the One Summer Night Oldies Dance Party
at $25 each.
Enclosed is $_______.
I cannot attend but I enclose my contribution of $_____ which
enters my name in a special drawing for a DVD player. (All who donate
$10 or more will be included in this special drawing. You need not
be present to win.)
City: __________________________________ State: __________Zip:________
_____ Check enclosed (Make payable to One Summer Night)
_____ Credit Card: ___ Visa ___ MasterCard ___ Amex ___Discover
Credit Card # _______________________________
Exp Date: _____________________ Signature: _________________________
Name(s) of people attending: _________________________________________
Back to Pet Aid League main page