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If paying by check, Visa or Mastercard:
Print this page, complete the form and send it with your payment to:
Charles Perdew Museum Association PO Box 211 Henry, IL 61537
If paying online with Visa or MasterCard:
Go to the Contact Us page on our website and indicate in the comments section that you want advance tickets to the Dinner & Auction, state the number of tickets you wish to purchase and then complete the remainder of the form, or call us at 309-364-3261. |
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Name: _______________________________________ # of Tickets: ___________________
Address: _____________________________________ Amount Enclosed: $______________
City: __________________________________ State: ____________ Zip: ______________
Telephone: _______________________________ Email: ____________________________
Credit Card Number: ___________________________________ Expires: _______________ |
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September 14, 2007 at 5:00 PM American Legion Hall, Main Street, Henry, Illinois Ticket Donation $20 each |
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Please note that you will receive your tickets by US mail in approximately 10 days after receipt of payment. |
