165th Consecutive Annual Dinner of the

Wayne County Democratic Party

Ticket Reservation Form

NAME(S)  ______________________________________________________________________________________________


ADDRESS _____________________________________________________________________________________________

E-MAIL __________________________________________________  PHONE (           ) _________ - _________________

I wish to purchase the following tickets. Please reserve ___________ VEGETARIAN DINNERS

_______ Student Ticket ($30 per person)

_______ "Early Bird Special" Blue Patron Ticket ($35 if purchased before March 31, 2020)

_______ Blue Patron Ticket ($40 per person)

_______ Silver Patron Ticket ($75 per person)*

_______ Gold Patron Ticket ($125 per person)*

_______ Platinum Patrol Ticket ($250 per person*)

_______ Table for Eight Persons*  ($400, ideal for committees or groups)

_______ I am sorry I will not be attend but would like to purchase _____ student ticket(s) to be donated to student(s) who might otherwise be unable to attend

_______ I am sorry I will not be attending would like to make a donation of $______________for the ongoing expenses (office rent, utilities, internet, printing) of the Party and the support it provides for the Democratic candidates in the 2020 election.

My check for $____________________ is enclosed.


_______ I will pay AT THE DOOR with check or cash.

Print and mail this form to


P O Box  1257

Wooster OH  44691

All reservations must be made no later than APRIL 24, 2020