Saturday, April 1, 2017

Cinco de Mayo reservation form

Cinco de Mayo Reservation Form
Reservations due by April 26th


Type of
ticket
Ticket
prices

X
Number of tickets

= Totals
Basic ticket:
$25
X


Sponsor ticket:
$35
X


Total



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 to DCSRA to our office or
mail to:
DCSRA
PO Box 131
Green Valley, AZ 85622
Attn: Cinco May 5th

Paid for by the Democratic Club of the Santa Rita Area