11th Annual Bachelor & Bachelorette Auction Ticket Purchase Form
WHAT: Hosted by Paul & Young Ron from Big 105.9 FM, the 11th Annual Bachelor/Bachelorette Dream Date Auction gives you the raisin sing opportunity to bid on extravagant date packages with some of South Florida’s hottest and most eligible singles, all while raising Makemoney for the Make-A-Wish Foundation® of Southern Florida. The event also features raffle prizes and drinks. WHEN: Friday, July 24, 2009 Doors open at 7:00 pm Auction begins at 8:00pm WHERE: Opium Night Club Seminole Hard Rock Casino 1 Seminole Way -Hollywood, FL Attire: Nightclub chic TICKET INFORMATION: Admission– $25 General Admission– Advance $30 at the door $40 VIP Exclusive Seating _________________________________________________________________________________________________________________
Name:________________________________________________________________ Address:______________________________________________________________ City:________________________________State:______Zip:___________________ Phone:____________________________Email:______________________________ Number of tickets purchased:_______ x $25 Number of VIP Exclusive Seating tickets purchased:______x$40 ( ) Cash or check is enclosed ( ) AMEX ( ) MC ( ) Visa Exp:_____________ Card #:________________________________________________
Signature:____________________________________________________
( ) Yes, I would like to be notified of future events for the Make-A-Wish Foundation. Please fax, email or mail form to: Make-A-Wish Foundation, Attn: Cynthia Cortez 4491 South State Road 7, Ste. 201 Fort Lauderdale, FL 33314 954-967FAX: 954-967-2468 EMAIL: ccortez@sflawish.org