Trout Unlimited
Bucks County Pennsylvania

TICKET ORDER FORM
Bucks County Chapter of Trout Unlimited
17th Annual Banquet
Saturday, March 21, 2009, 6:00 PM
__________ Banquet Tickets @ $40 each (must be purchased by March 14th 2009) March is coming up before you know it!
__________ Advance Purchase Raffle Ticket Package @ $100 each { $300 worth of raffle tickets for $100 }
(Advance Purchase Raffle Ticket Package contains $150.00 worth of Green and $150.00 worth of Gold Raffle tickets for only $100. Offer not available the day of the banquet)
__________Donate $30.00 or more to the Cooks Creek Preservation Fund and receive a distinctive “Conservation Cap”.
__________ General Donation. If you would like to support our coldwater conservation work in Bucks County, a donation of any amount would be greatly appreciated.
__________ Total Amount. Thank You!
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Name: _____________________________(See below, too) Please provide either your address or email address so we can send you a receipt and driving directions! Address: _________________________________________ _______________________________________________ City/State/Zip_____________________________________ Phone: (________) ______________ Email Address (Please write clearly – save us a stamp!) _________________________________________________ |
› Check (Payable to BCTU)
› Charge – VISA
CC# ______________________________
Expires ___________________________
Signature _____________________________ |
NOTE: Each dinner ticket and raffle ticket is printed with a name to identify the winner when the ticket is drawn in a raffle. If you are buying tickets for multiple people, you may want to have their names printed on their raflle packages and dinner tickets. Please list the names as you want them to appear on the dinner tickets and raflle packages. Only one name per raffle package. If you want to split a package between two people, you may, but you will then need to keep track of the tickets by serial number. (All raffle tickets have serial numbers.)
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Mail to:
Bucks County Trout Unlimited
C/O Simon Hallett
6010 Stoney Hill Rd
New Hope, PA 18938
(Yes, I’m optimistic!)