The Northwest Chapter Safari Club International
The Northwest Chapter Safari Club International
The Northwest Chapter Safari Club International
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
ADVANCE TICKET SALES DEADLINE:<br />
January 31, 2012<br />
NAME:________________________________________PHONE:_____________________<br />
SPOUSE:__________________________________________________________________<br />
ADDRESS:_________________________________________________________________<br />
CITY:___________________________ STATE:______________ ZIP:___________________<br />
DINNER CHOICES<br />
1. Dinner for ONE with Sirloin # ________ with Salmon #_________ @ $100 = _________<br />
2. Dinner for TWO with Sirloin #________ with Salmon #_________ @ $200 = __________<br />
3. Sponsor dinner for ONE with Sirloin #_____ with Salmon #______@ $ 325 = _________<br />
4. Sponsor dinner for TWO with Sirloin #______ with Salmon #______ @ $425 = ________<br />
5. Dinner only with Sirloin # ________ with Salmon #________ @ $70 = __________<br />
6. Friday night “Meet & Greet” ad $30 per person to any of the above choices<br />
#________ @ $30 = ___________<br />
7. Seat at the head table with Jim & Louise Shockey # ___________ @ $250 = __________<br />
(#7 Does not include any dinner package.)<br />
TOTAL ENCLOSED: ____________________<br />
TICKET FORM<br />
PAYMENT<br />
Method of Payment: VISA_________ Mastercard____________ Check___________<br />
Card Number _________________________ exp.__________/_________________<br />
Name of Cardholder____________________________________________________<br />
Make Checks Payable to : SCI NW <strong>Chapter</strong> ‐ Pick tickets up at the door.<br />
Mail to: Del Berg 9636 S. 203rd St. Kent, WA 98031‐1463<br />
Visit our website at www. Scinw.com for online reservations.
Change language