Wine Tasting Ticket Order Form

Ticket Order Form
Wine Tasting Social
Saturday, November 22, 2003

Please:

Print this page.
Fill out the form.
Write a check to Athena Art Project.
Tickets are $40 each.
Mail the form and the check to:
Tickets, P.O. Box 70102, Houston, Texas 77270-0102.

After November 17, 2003 please pay via Pay Pal, or call 713-861-3316 for reservations.

Name	___________________________________
Address	___________________________________
City, ST	___________________________________
Zip Code	___________________________________
Phone	___________________________________
E-Mail	___________________________________
Number of tickets	___________________________________
Total amount included (# of tickets x $40)	___________________________________

Thank You!