80 Seats Left! 80 Seats Left! 80 Seats Left! 80 Seats Left!     

            River City Association of the Deaf

 

30th Anniversary Gala Banquet

Hyatt Regency Jacksonville Riverfront


November 1, 2008 at 6:00 P.M.

 

Ticket Order Form

 

DEADLINE: $100 per person before Oct. 6 to Nov 1st, 2008


$100 per person between October 6, 2008 and up to the Door (based on availability)

 

The Banquet Hall has a capacity of 200, and only 200 tickets will be sold. First Come, First Serve! Buy Early!

Due to the immense popularity of our Entertainers (Keith Wann and Simon Carmel), we expect a Sellout!

 

Name: ________________________________

 

Address: ______________________________

 

City: _________________________________

 

State: ______________    Zip: _____________

 

Contact: ______________________________

  Email / VP/ TTY/Voice (Circle one)

 

Accommodations Needed? Explain __________


_______________________________________

 

_______________________________________

(We will try our best to accommodate your needs)

 

Please note: NO CHECKS AFTER October 5, 2008!

 

1- Pay Plan:

Nbr. of tickets: ____ X $100.00 = ________

List Names to be on Tickets: Circle your meal preference

 

__________________________Beef/Chicken

 

__________________________Beef /Chicken


Make Check payable to: RCAD and mail with this form to:

Kerry K. Cooler, Chairperson

6434 Jack Wright Island Road

St. Augustine, FL 32092

title