PRINT THIS PAGE -- -- TICKET ORDER FORM

PIATT COUNTY DEMOCRATS FISH FRY

Friday September 24, 2010  - DOORS WILL OPEN AT 5:00 PM

BEMENT AMERICAN LEGION HALL
449 EAST BOWYER STREET

 

NUMBER OF ADULT TICKETS @ $10.00 EACH  ___________________

 

NUMBER OF CHILD TICKETS (UNDER 12)  ______________________

 

 

NUMBER OF 50-50 DRAWING TICKETS

1 @ $1,  6 @ $5,  13 @ $10 space__________________________

 

AMOUNT ENCLOSED  $_______________________   MAKE CHECKS PAYABLE TO THE

space"PIATT COUNTY DEM CENTRAL COMM"


 MAIL TO:
PIATT COUNTY DEMOCRATS
PO BOX 572
MONTICELLO IL 61856-0572
YOUR TICKETS WILL BE MAILED TO YOU.  PLEASE PROVIDE YOUR NAME, MAILING ADDRESS, AND TELEPHONE NUMBER. THANKS! SEE YOU THERE!