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THE ROYAL REMINDER

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DONORS:<br />

EXPRESS<br />

CHECKOUT:<br />

PAYMENT<br />

INFORMATION:<br />

QUEEN MARGARET’S SCHOOL<br />

660 Brownsey Avenue<br />

Duncan, British Columbia, Canada V9L 1C2<br />

T 250 746‐4185 | F 250 746‐4187 | www.qms.bc.ca<br />

QMS SPRING CLASSIC BARN DANCE & AUCTION<br />

ORDER YOUR TICKETS TODAY!<br />

(Please print all information)<br />

Name: _________________________________________________________________<br />

Address: ___________________________________ Postal Code: _________________<br />

Phone #: ______________________ Email: ___________________________________<br />

Please reserve _____________ tickets at $25.00 each.<br />

Please list the name of each guest as it should appear on the guest list<br />

_________________________ _________________________<br />

_________________________ _________________________<br />

_________________________ _________________________<br />

_________________________ _________________________<br />

□ I would like to make a donation of $__________ for a full tax receipt<br />

and donor recognition.<br />

□ I authorize Queen Margaret’s School to charge any purchases or expenses<br />

incurred in relation to the QMS Spring Classic Barn Dance & Auction on<br />

Saturday, May 11 th , 2013, to my credit card listed below.<br />

□ My cheque is enclosed for $___________ or charge my<br />

□ Visa<br />

□ MasterCard<br />

□ American Express<br />

Credit Card Number: _________________________ Expiry: ___________________________<br />

Print Name on Card: ____________________________________________________________<br />

A donation receipt will not be issued because of the reduced ticket price. If you have already called to<br />

reserve tickets, thank you for your support.<br />

Please return this form to Reception at Queen Margaret’s School or fax it to 250‐746‐4187.<br />

For more information – contact QMS Reception – Telephone 250‐746‐4185 or email barndance@qms.bc.ca.

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