Issuu on Google+

Ranch Chic Fashion Show Thursday, September 15, 2011 6:30 p.m. - 9 p.m. Ranch at the Rim Cowboy Duds Reserved Row $650 # of rows_______ 10 tickets to the show and premier reserved seating Name or company listed in the program (Print deadline August 12, 2011) Cocktails, beer & hors d’oeuvres Goody bag for each guest Reserved seat ticket $75 # of tickets______ Reserved seat to watch the show Name or company listed in the program (Print deadline August 12, 2011) Cocktails, beer & hors d’oeuvres Goody Bag * A portion of the ticket price is tax-deductible

Row/Ticket Reservation Form: Donor Name: Contact Person:

Title:

Address:

City, State, Zip:

Phone: (

)

Fax: (

)

Email: BILLING & PAYMENT INFORMATION TOTAL CONTRIBUTION: $_________________ □ My check made payable to the American Cancer Society is enclosed. □ Invoice me at the above address. □ Charge my credit card. Cardholder Name:______________________________________________________________ Card #:______________________________________________ Exp Date:________________ Billing Address:___________________________________________________________________________________________

Please mail, fax or email with payment to: American Cancer Society, 8115 Datapoint Dr., San Antonio, TX, 78229 FAX: 210-615-7724 or email lisa.ayres@cancer.org. Should you have questions, please call the American Cancer Society at 210-595-0219. Office use only: Date received:________________________ Date payment received:______________


2011 Fashion Show Reservation Form