167th Consecutive Annual Dinner of the
Wayne County Democratic Party
Ticket Reservation Form

NAME(S)  ___________________________________________________________________________________

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ADDRESS __________________________________________________________________________________

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E-MAIL _______________________________________  

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PHONE (           ) _______ - ___________

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I wish to purchase ________ adult tickets at $40 each.

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I wish to purchase ________ Student Tickets at $30 per person.

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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

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 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.

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My check for $____________________ is enclosed.

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Print and mail this form to

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WCDP

P O Box  1257

Wooster OH  44691

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All reservations must be made no later than SEPTEMBER 17, 2002