|
The
Beach Blast
Saturday,
August 16, 2008 - 12:00 Noon to 12:00 Midnight
At
Oasis Shrine Auditorium
604
Doug Mayes Place, Charlotte, NC 28262
REQUEST
FOR BEACH BLAST TICKETS
Must
Be Postmarked On or Before August 1, 2008
Name______________________________________Date__________
Address__________________________________________________
City______________________
State___________ Zip____________
Phone
Number Area Code ( __ __)__________________Ext_______
E-Mail
Address__________________________________
In the event we need to contact you complete all information.
I
Request That You Send Me _____ BEACH
BLAST TICKETS
@
$25.00 EACH
Please
Select One Payment Option
CASH_____________
CHECK_____________
Or
charge to Master Card / Visa (Circle one):
Card
Number: ________________________________
Expiration
Date: ____________
Mail
Completed Form And Payment To:
Oasis
Shrine Patrol
604
Doug Mayes Place
Charlotte,
NC 28262
(Tickets
will be mailed to you upon receipt of your request and payment. Check for
accuracy.
Please
answer all questions in the event we need to contact you.) |
