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Tropical Hope
Supporting the fight against cancer

September 16, 2006
Somersville, CT
 

TICKET ORDER FORM (please print)

Number of tickets: ________ ($25 per person)

Payment Enclosed: ________

___ Please mail my tickets

     or

___ I will pick up tickets at the door (recommended)
(picking up tickets at the door will save us shipping costs and help us raise more money for the effort)

 

Name: ___________________________________________

Address: _________________________________________

City/State/Zip: ____________________________________

Phone: ___________________________

E-mail ___________________________________________

 

___ Yes, I would like to volunteer to help at the event.

___ Yes, I would like to Donate a Raffle or Silent Auction Gift

Mail check or money order to:

Parrot Head Club of Connecticut
Make checks payable to "PHCoCT" & mail to:

PHCoCT
9 Partridge Meadow
West Suffield, CT 06093

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