Please mail this form with your check to:

 

LEBANON COUNTY DEMOCRATIC COMMITTEE

PO Box 1128,  Lebanon, PA 17042

Tickets will not be sent to you. Your tickets will be held at the door.

 

Please reserve ____ tickets at $40 each, for a total of $_______

      or _____table/s for 10 at $375 each, for a total of $_______

I can’t attend, but I would like to contribute $____ to the party.

 

Name: _______________________________________________________

Address: __________________

City, State and Zip____________________

Occupation and Employer: _______________________________________

Donations are not tax deductible. Corporate checks cannot be accepted. Labor Donated.