NORCAL Golden Retriever Rescue
2001 Auction & Wine Tasting

"Golden Circle" Raffle Ticket Order Form

If you do not wish to order and pay for your tickets online, you may fill out this form, click the "Continue to see order and recap of charges" button to see the order, then print it and mail it to:
NORCAL Golden Retriever Rescue
405 El Camino Real, Suite 420
Menlo Park, CA 94025-5240

Ticket Buyer Information
First Name
Last Name
Title *
Address
City
State
Zip Code
County
Country *
Home Phone
Email
Company *
Occupation *
 * information is optional
Ticket Order Information
Category Quantity Price
Single Tickets $40.00
Group of 3 Tickets $100.00
Group of 8 Tickets $200.00
Group of 25 Tickets $500.00
  

Tickets will be sent by return mail.

Contact Information
If you have any questions, please call:
Jack Agresti
  (650) 851-7604  e-mail: jjagresti@aol.com
Dave Ball  (650) 917-1387  e-mail: kball9@earthlink.net

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