Sunday, July 23, 2017

DCSRA Labor Day Party RESERVATION FORM


Reservation Form

Due by August 30th, 2017

Tickets are $15.00 per person

Number of Tickets
$15.00 each
Total Cost




X $15.00 each


The information below is required by state law.

Name:
Name:
Address:
Address:
City:
City:
State:
State:
Zip:
Zip:
Phone:
Phone:
Occupation:
Occupation:
Employer:
Employer:

 How to pay BY CREDIT CARD ON-LINE
Use this secure web site:

How to pay BY CHECK
Return this form with your check payable toDCSRA to our office or mail to:
DCSRA
PO Box 131
Green Valley, AZ 85622
Attn: Labor Day Picnic


Paid for by the Democratic Club of the Santa Rita Area