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INDIVIDUAL TICKET ORDER FORM

ALL ADVANCE TICKETS

MUST BE PURCHASED AND PAID IN FULL BEFORE MARCH 7, 2016.

Tickets after this date may be purchased at the gate for $10. For more information contact 504-392-9622 or jodit@ymcaneworleans.org

Name:______________________________________________ Email: ______________________________________________ Phone:_____________________________________________ ADMISSION TICKETS 

_____________ tickets x $8 =$______________________

DONATION 

I would like to support youth and family programs in my community and would like to make a donation of $ _______________

PAYMENT  

Check Enclosed: check#___________ Please call me to use a Credit Card

Team registrations, sponsorships and tickets can be purchased at the Belle Chasse YMCA or the Plaquemines CARE Centers. Or you can mail this form and payment to: BELLE CHASSE YMCA 8101 Highway 23 Belle Chasse, LA 70037 MAKE CHECKS PAYABLE TO: YMCA– COOK OFF (EARLY REGISTRATION MUST BE RECEIVED BY 2/20/16; ALL OTHER PAYMENTS MUST BE RECEIVED BY 3/7/16)


COMPANY REGISTRATION FORM All teams must submit a registration form. For more information contact 504-392-9622 or jodit@ymcaneworleans.org I’D LIKE TO SIGN UP FOR:

JAMBALAYA COOK OFF TEAM  

$150: Registered before February 20 $200: Registered February 20 to March 7

SPONSORSHIP OPPORTUNITY 

$300 SILVER SPONSORSHIP  2X4 Sign on barricades  6 Complimentary entrance tickets $500 GOLD SPONSORSHIP  2X8 Sign at entrance  10 Complimentary entrance tickets $1,000 PLATINUM SPONSORSHIP  4X8 Sign at entrance  Multiple stage announcements and recognition  20 Complimentary entrance tickets

ADDITIONAL ADMISSION TICKETS 

___________ tickets x $8 $_________________

I am unable to enter a Team but would like to make a donation of $ ____________.

DONATION

ABOUT YOUR ORGANIZATION

Contact Name_____________________________________________________ Organization Name______________________________________________ Address_____________________________________________________________ _______________________________________________________________________ City:__________________________________________ State:_______________ Zip:___________________ Phone:______________________________________ Email:________________________________________________________________

ABOUT YOUR TEAM Team Name: _______________________________________________________ Captain: ____________________________________________________________ Member #2:________________________________________________________ Member #3:________________________________________________________ Member #4:________________________________________________________

PAYMENT (early registration must be received by 2/20/16; all other payments must be received by 3/7/16)

 

Check Enclosed: check#___________ Please call me to use a Credit Card


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