2011 Fashion Show Reservation Form
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Transcript of 2011 Fashion Show Reservation Form
![Page 1: 2011 Fashion Show Reservation Form](https://reader035.fdocuments.in/reader035/viewer/2022081822/568bbc661a28ab777e8bf089/html5/thumbnails/1.jpg)
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 [email protected]. Should you have questions, please call the American Cancer Society at 210-595-0219. Office use only: Date received:________________________ Date payment received:______________