Club of Calgary Sarcee
TICKET ORDER FORM
17th Annual “Rotary Art from the Heart” Auction and Dinner
Benefitting Providence Children’s Centre
st
Friday May 1 , 2015 6:00 pm registration & cocktails, 7:00 pm dinner
LOCATION: Red & White Club 1833 Crowchild Trail NW, Calgary, AB T2M 4S7
Fill out this form and return to Joyce Halpenny at jrhalpenny@gmail.com (or Rotary Calgary Sarcee member)
Questions? Call Joyce at (403) 259-2391. For more information go to www.calgarysarceerotary.org
Ticket Purchaser
First Name
Last Name
Address
Telephone
Company
City/Prov
Postal Code
eMail address (required)
Ticket Order
Quantity
Early Bird Individual Tickets: $100 each
Early Bird Table of 8: $750 each
After April 15 Individual Tickets: $125 each
Total
Total
Early Bird
Special Price
till April 15th
ONLY
Payment
Mail Cheque (make cheque payable to Rotary Club of Calgary Sarcee – Benefit Art Auction)
TO
Rotary Club of Calgary Sarcee, P.O.Box 34273, RPO Westbrook, Calgary AB T3C 3W2 Attention: Joyce Halpenny
OR
Credit Card: Visa/MasterCard (circle one)
Number
Exp (mm/yy):
Name on Card
If you are buying more than 1 ticket, please PRINT the names and email addresses of your guests:
First name
Last name
eMail Address
1
2
3
4
5
6
7
8
Rotary Contact (If applicable): ________________________________________________________________
In order to comply with the Alberta Charitable Fund-raising Regulations, the estimated proceeds and costs for this event are
$140,000 and $80,000 respectively.