165th Consecutive Annual Dinner of the
Wayne County Democratic Party
Ticket Reservation Form
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