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Taste of Elizabeth X

Advanced purchase: $35
At the door: $40

Please complete this form, print it, and mail by

October 5, 2016

with a check made payable to:

Rotary Club of Elizabeth
PO Box 971; Elizabeth, NJ 07207-0511

or fill in your selections, submit the form, and we will have someone   
        contact you to confirm your order, and record your credit card information.  

Tickets can be mailed or you can claim them on the night of the event

YES! I will attend Taste of Elizabeth on Monday, October 17,
2016. Please send
ticket(s) @ $35 each   $
Please send 50/50 Raffle*  tickets            $
(One ticket @ $5 or three tickets $10)

Total Donation $

ABC Permit#: 21002
Raffle ID#: 127-8-27739   RL#: 5341

My check is enclosed
I would like to pay with my     Visa   MasterCard  

First Name: Last Name:
Address: City:
State: Zip:
Phone:(day) Phone:(evening)

Mail tickets to me
Willcall ticket pickup

How did you hear about Taste of Elizabeth?
Rotary Club Mailing
Rotary Club Member
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