Alameda Kiwanis Club 11th Annual 

Chili Cook-Off and Barbecue Dinner

January 23, 2010

 

Ticket Purchase Form

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All tickets purchased after Jan 18 will be held at "Will Call"

 

Ticket Type

# attending

Price

Subtotal
Adult

 

$50   

  
Child (under 7)   FREE   
TOTAL  

 

I cannot attend this event; however, I want to make a tax-deductible contribution in the amount of $_______ to support the community efforts of the Alameda Kiwanis Foundation.

 

Name:

Address: 

Phone

City/State/Zip: 

Fax 

e-mail address:

Payment by:

  □ Check    □ Money order    (US funds, payable to Alameda Kiwanis)

Credit card #

Expires: 

Orders with a credit card payment may be faxed to:

 

510.748.8052

 

Or mail this completed form with your payment to:

 

Alameda Kiwanis Club

PO Box 728

Alameda, CA  94501 		Purchase directly at the following location:

Bank of Alameda Park Street
(see Dawna Dowdell)
1416 Park St
510.748.8427