Name *

Company (if applicable)

Address *

City *

Province

Postal Code *

Phone *

Email *

Recognition Name

This Address is a Business    Home

Please print business name and contact person
Business Name Business Contact Name

Tickets will be mailed to the address given above

Please select the number of guests OR check the box below to reserve a table for 8 guests.

012345678 Ticket Purchase - $125 per guest

Reserved table for 8 Guests - $1000 per table

Mentor - 10 Children - $10,000 (Includes 6 complimentary tickets = $750 value)

Principal - 5 Children - $5,000 (Includes 4 complimentary tickets = $500 value)

Teacher - 3 Children - $3,000 (Includes 2 complimentary tickets = $250 value)

Child - 1 Child - $1,000 (Includes 2 complimentary tickets = $250 value)

Yes, I require my complimentary tickets

No, I do not require my complimentary tickets

As a sponsor you will be gratefully acknowledged both publicly and through a number of print materials at the 9^th Annual Discover the Possibilities Silent & Live Auction.

Guest 1

Guest 2

Guest 3

Guest 4

Guest 5

Guest 6

Guest 7

Guest 8

Guest 9

Guest 10

Name on Credit Card *

Credit Card Number*

Expiry dateMM010203040506070809101112 /YY1011121314151617 *

Card TypeVisa   Mastercard *

I agree to allow YMCA to place this ticket order with the provided credit card*