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.

Annual Dinner & Auction

 

Name:  _______________________________________   # of Tickets: ___________________

 

 

Address:  _____________________________________  Amount Enclosed: $______________

 

 

 

City:  __________________________________  State:  ____________  Zip:  ______________

 

 

Telephone:  _______________________________  Email:  ____________________________

 

 

Credit Card Number:  ___________________________________  Expires:  _______________

September 14, 2007 at 5:00 PM

American Legion Hall, Main Street, Henry, Illinois

Ticket Donation  $20 each

Please note that you will receive your tickets by US mail in approximately 10 days after receipt of payment.

See you at the Dinner!

Charles Perdew Museum Association

PO Box 211

Henry, IL  61537

309.364.3261

info@charlesperdew.com

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