How You Can Help: Benefit Tickets

Please order my tickets!

Please print out this registration form, fill it out, and return with payment by May 1, 2005 to:

TMA Foundation
401 W. 15th Street
Austin, TX 78701-1680

Name
Street Address
City
State
Zip Code
Phone
Fax
E-mail
 
Tickets

Tickets - $150 each
($65.50 is charitable contribution)
Please reserve # of tickets.

     

Please seat us with:

     
Sponsor a Table!  

$1,500 "Doc Holliday" Sponsor
($470 is a charitable contribution)
You'll receive a reserved table for ten guests, invitations to the private sponsor reception held immediately before the event, and recognition at the benefit and in the TMA Foundation newsletter.

Name on table:

     
Payment Options
Check enclosed payable to TMA Foundation.
Charge my:
Visa MasterCard AMEX
Card number
Expiration date
Name on Card
Signature

 

If you have questions, call (800) 880-1300 ext. 1466 or call (512) 370-1466.