

30th Anniversary Gala Banquet
Hyatt Regency
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 = ________
__________________________Beef /Chicken
Make Check payable to: RCAD and mail with this form to:
Kerry K. Cooler, Chairperson