Rock the Knight Away 4 Dance Tickets

Enjoy Dinner and the Dance for
$ 35.00 per person

or
Just come and Dance the Knight Away for
$ 25.00 per person
Cash/Cheque/Money Order/Visa/Mastercard

You have 3 options for purchasing tickets;
(your tickets will be returned to you in the mail)

1)  Print & mail the ticket order form and the payment to; 
      Ron Kichler
      29 Scott Street
      Delhi, Ontario
      Canada, N4B 2W4 

2)   Fill in and submit the below form
      
with your VISA
       or MASTERCARD number
       and how many tickets you wish
       to purchase

Todays Date:

Todays Date:

Date
Ship To:

Ship To:

First Name*

Last Name*

Company

Address*


City*

State*
Postal Code*

Country*
Email*

Day Phone*

Evening Phone

Your Age:

Your Age:

Enter your age:*
Number of Tickets:

Number of Tickets:


1.  Which Ticket

1. Which Ticket

Which type of ticket do you wish to purchase?
Method of Payment:

Method of Payment:

2.  Card Number:

2. Card Number:


Expiry Date:

Expiry Date:



3.  Comments:

3. Comments:


 
3)   To pay with 'Paypal' fill in the
       form below and submit it;
1.  Date

1. Date

Date
2.  Bill To

2. Bill To

First Name*

Last Name*

Company

Address*


City*

State*
Postal Code*

Country*
Email*

Day Phone*

Evening Phone

3.  Age Check

3. Age Check

Enter your age:*
4.  Payment Method

4. Payment Method

5.  Items Ordered

5. Items Ordered

Dinner & Dance Ticket

Dinner & Dance Ticket

Dinner & Dance Ticket
Dance Only Ticket

Dance Only Ticket

Dance Only Ticket