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Good News Home for Women
Concert Ticket Order Form

 

TOTAL NUMBER OF TICKETS   @ $30 Each =      

    

              

   

      Boosters List my name(s) in Journal as follows*

  

         EXAMPLE:  John and Jane Doe; Dr. & Mrs. Mark Evans; The Smith Family

 

Friends of the Spirit List my name(s) in Journal as follows*

          

 

IN MEMORY OF          

 

AND/OR IN MEMORY OF OUR FORMER DIRECTORS:

                                    

                                    

*For publication in the Ad Journal, donations must be received

  no later than September 27, 2002.

    PAYABLE TO Good News Home-Concert TOTAL   

 

MAILING INFORMATION:                                                                                                                                               THANK YOU!

 

FIRST NAME / LAST NAME           

 

ORGANIZATION / COMPANY     

 

STREET ADDRESS / APT              

 

CITY / STATE / ZIP CODE                  

 

TELEPHONE / E-MAIL                    

 

CREDIT CARD                                                 

CARD NUMBER                               EXP DATE:  00 / 0000

 

IF DIFFERENT THAN ABOVE, PLEASE ENTER THE NAME AND ADDRESS EXACTLY AS IT APPEARS ON THE CREDIT CARD STATEMENT

                                                        

COMMENTS:

 

 

 

 

 

 

WHEN MAILING OR FAXING, PLEASE INCLUDE CARDHOLDERS SIGNATURE                                                                                                                     

 

NOTICE:  Submitting this form by clicking on the submit bar sends your order in a non-encrypted format, which is only as secure as email transmissions. In addition to submitting yout order online, you have the option of either mailing, faxing or calling-in your order.  Submission via Internet  is at your own risk.