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Luncheon Ticket Order

Tickets for the awards luncheon are TBA. Tickets must be ordered in advance, and the deadline to receive ticket orders is June 1. Tickets will be held at the door for pickup at the registration table June 9. Print this page from your browser for a form to fill out and mail.

Member Name: _____________________________________________
E-mail: __________________________________________________
Day telephone: (_________)________________________________
Address: _________________________________________________
City, State, ZIP: ________________________________________
Guest Name: ______________________________________________
Address: _________________________________________________
City, State, ZIP: ________________________________________
Affiliation (if any): ____________________________________
If you would like to order tickets for more than one guest,
please attach a separate sheet of paper giving the names 
and addresses for all who will attend.
Total number of tickets ________ x $20 each = $____________

Send your ticket order, with check payable to "APW," to:
Ashli Davis
1470 Toltec Mounds Lake Rd.
England AR 72046

If you are unable to attend the luncheon but would like to make a contribution to the scholarship program, please send your check to the same address with a note telling us so.

Contact Phone E-mail
Ashli Davis, Luncheon Registration
1470 Toltec Mounds Lake Rd.
England AR 72046
501-940-5520 ashli.davis@
acxiom.com
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