2022 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: __________________________________________,    ______________________________   _____________________________,  _____________________________________

 

                                            Mail To:   Laurie Cockerell

5313 Santa Marie Ave.

Fort Worth, Texas 76114

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Due Date & Refund Policy:

Reservations are due by October 10, 2022. In the (we believe) unlikely event we are forced to cancel the Award Banquet, we will refund your reservation at the last possible moment.