T I C K E T O R D E R F O R M

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UNIVERSITY OF REGINA

Champagne Reception 5:30PM | Dinner 6:30PM

T I C K E T

O R D E R

F O R M

Name Company Address City

Postal Code

Phone

Fax

Email

Single Tickets @ $135 each

(GST Included)

Tables of Eight @ $1,000 per table

Method of Payment:

=

(GST Included)

Total Amount Enclosed

$

$

= $

Tax Receipt Required

Online Ordering at www.reginarams.com

Please Invoice Me Cheque Enclosed - Payable to Regina Rams Football Club Credit Card: Visa

Mastercard

#

Expiry Date: Card Holder Name: Card Holder Signature:

By Mail:

By Fax:

University of Regina Rams University of Regina Room 176, Centre for Kinesiology, Health and Sport Regina, SK. S4S 0A2

306.585.5479

Silent Auction Items Welcomed

Call 306.585.5483 [email protected]