Alameda Kiwanis Club 12th Annual 

Chili Cook-Off and Barbecue Dinner

January 28, 2012

 

Ticket Purchase Form

All tickets purchased after Jan 20 will be held at "Will Call"

PRINT THIS FORM TO MAIL OR FAX

OR

Purchase through our secure server

Adult Ticket $50
Children 4-12 years $25

 

 

Ticket Type

# attending

Price

Subtotal
Adult

 

$50   

  
Child 5-12 years  

$25    

  
Child under 5 years   Free     
       
TOTAL  

 

I cannot attend this event; however, I want to make a tax-deductible contribution in the amount of $_______ to support the community efforts of the Alameda Kiwanis Foundation.

 

 

Name:

Address: 

Phone

City/State/Zip: 

Fax 

e-mail address:

Payment by:

 q Check  q Money order  (US funds, payable to Alameda Kiwanis)

Credit card #

Expires: 

Please indicate the names of the guests in your party:

Orders with a credit card payment may be faxed to:

 

510.748.8052

 

Or mail this completed form with your payment to:

 

Alameda Kiwanis Club

PO Box 728

Alameda, CA  94501 		Purchase directly at the following location: