2021 Will Rogers Medallion Award Banquet Ticket Order Form

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Name: ________________________________________________________                                                                    

Address:  ______________________________________________________

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Email: _________________________________________________________

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I would like to order _______  Award Show Banquet tickets at $70 each

                                                          

  ________  x  $70 = ________ Total

 

I would like to pay by:    

Check  (enclosed)______

Money Order (enclosed)______

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My name tag(s) should read: __________________________________________,    ______________________________   _____________________________,  _____________________________________

 

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                                Mail To:    Charles Williams

                                                  7506 Silver Lake Drive

                                                  Rowlett, TX 75089

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Due Date & Refund Policy:

Reservations are due by October 9, 2021. In the (we believe) unlikely event we are forced to cancel the Award Banquet, we will refund your reservation at the last possible moment.