BIG 5 EVENT TICKET REQUEST FORM
 
Event is May 7, 2022; 5-9 pm at Balletto Event Center
Dinner and dessert, wine and beverages, entertainment, silent auction, live auction, Big 5 Raffle drawing, and much more! Dressy casual.
Name:
 
Address:
 
Phone:
 
Email Address:
 
Rotarian Contact (if known):
 
# Of Tickets ($100 each)
 
Payment Method:
Circle one:     Visa    MasterCard     Check       Cash
Credit Card #:
 
CC Expiration Date:
 
CC Security Code:
 
CC Zip Code:
 
 
Make checks out to:  Rotary Club of Sebastopol Foundation
Please complete this form and email, mail, or deliver to your
Rotary Club of Sebastopol contact or
Katy Spyrka (707) 328-5535 katyspyrka@gmail.com
 or Jackie Moreira (707) 696-6523 jmmjoe5@hotmail.com
 
Rotary Club of Sebastopol, PO Box 213, Sebastopol, CA  95473
Questions? Contact your Rotarian contact or
Katy (707) 328-5535 or Jackie (707) 696-6523
 
Thank you for providing valuable resources to our community and the world!
Rotary Club of Sebastopol Foundation, Inc. Tax ID 47-4312102
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