Individual Ticket and Table Order Form
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First and Last Names
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Address ( Street/City/ Zip code)
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Telephone/ email address
Payment Information
[ ] I/We wish to purchase _______ tickets at $250.00each, total $_________
( tables for 8, 9 or 10 persons available)
[ ] I/We wish to purchase a Friends and Family Table at $3,500.00
(8 persons per table, premium table, signage at event, recognition in the evening programme)
[ ] I/We wish to purchase a Corporate Table at $5,000.00
(10 persons per table, premium table, signage at event, half page advertisement in the evening programme)
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Signature and Date
A tax receipt will be issued for the donation portion.
Please send cheque payable to St. Joseph’s Ukrainian Catholic Church to
Share the Spirit Gala, c/o Mrs Irene Shlapak,
88 Brentwood Rd., Oakville ON L6J 4B6
For more information about individual tickets and tables, please contact
Irene Shlapak at 905-844-2285 ( ishlapak@mac.com) OR
Renata Roman at 905-891-8558 ( renataroman@yahoo.com)
Gala package will be mailed to your designated address by October 9, 2009
( Should your address information change, please contact us)