Print this form and fill in the details then mail to the address printed below.

Please mail me the tickets_____.  or I will pick up the tickets at the door_____.

EASTWOOD ROTARY ART AUCTION &  FESTIVAL 

April 8, 2011, Traditions at the Links at Erie Village

Number of tickets______ @ $35.......Total$____________

First Name:____________________________________________

Last Name:____________________________________________

Address 1:____________________________________________

Address 2:____________________________________________

City:_________________________________________________

State:__________________________...Zip/Postal Code:_________________________

Telephone:_____________________________

E-Mail Address:____________________________________________

PAYMENT:

Check: Make check payable to: Eastwood Rotary Foundation

CREDIT CARD:

Card Type: Visa Mastercard____________

Card #:_____________________________________________________

Expires:_____________________________________________________

Credit Card ID # (3or 4 digit # found on the back of your card)____________

Signature_______________________________________________________________

Send form and payment to:                           

 Eastwood Rotary Foundation

 P.O. Box 172

 Syracuse, NY 13206

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