167th Consecutive Annual Dinner of the
Wayne County Democratic Party
Ticket Reservation Form
PHONE ( ) _______ - ___________
I wish to purchase ________ adult tickets at $40 each.
I wish to purchase ________ Student Tickets at $30 per person.
I am sorry I will not be able to 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 but 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 2022 election.
My check for $____________________ is enclosed.
Print and mail this form to
P O Box 1257
Wooster OH 44691
All reservations must be made no later than SEPTEMBER 17, 2002