Ticket Request

__  Chicken Marsale         $45.00      Number of Prime Rib Dinners    ________

__  Broiled Salmon           $45.00       Number of Salmon Dinners       ________

__  Vegetarian                 $45.00       Number of Vegetarian Dinners  ________

__  Table of Eight      $360.00

# Of tickets_____@ $45.00 ea.    # Of table(s)______@ $360.00 ea.

Dinners are available for children 12 and under.

Ticket Deadline: June 17, 2010

Total amount enclosed (tickets and/or Ad):_______________________

Make all checks payable to Cheltenham NAACP

Mailing address:  P.O. Box 151, Wyncote, PA,  19095

Please print and complete form.  Send by U.S. Postal Service.

            For additional information email: cheltnaacp@aol.com 

            Or visit us on the web at: www.naacp-cab.org

For Official Use Only:

Date Received:_____________________Check#________________Amt.______