Total
__________ Admission Tickets @ $5.00 each
__________
__________ Table Reservations @ $5.00 each (8 foot)
__________
Will you need electricity? Yes
No circle one
Company:______________________________________________
Name:_________________________________________________
Address:_______________________________________________
City:__________________________ State:_____ Zip:__________
Phone:_________________________________________________
Call Sign:_____________________________
E-Mail Address:_________________________________________
Total amount enclosed__________