10th Annual Independence Village Dinner & Dance

Date and Time

Saturday Jul 31, 2010
6:00 PM - 11:00 PM CDT

Saturday, July 31, 2010

6:00 pm – 11:00 pm

Location

Nessler Center – Texas City, Texas

Fees/Admission

TICKET ORDER FORM

Name ___________________________

Company_________________________

Address_________________________

City ____________State___ Zip______

Phone ___________________________

Couple Sponsor $175.00

(Two (2) tickets to Gala, and names in program)

Individual Sponsor $100.00

(One (1) ticket to Gala, and name in program)

Individual Ticket $35.00

**Value of each individual ticket is $35.00**

Please indicate quantity and level of tickets requested (as noted above):

Level: ___________________________

No. of tickets ______ @ $________each

Total enclosed $__________(Check)

Please bill my ___Visa or ___MasterCard

Account # ________________________

Expiration Date ____________________

Signature: ________________________

We are unable to attend, but would like to contribute, $__________.

Please bill my credit card as noted above.

Please make checks payable and mail to:

The Independence Village

905 Highway 3 North

Texas City, TX 77591

Website

http://www.independence-village.org

10th Annual Independence Village Dinn...

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Description

“Walk On The Wild Side!”

10^th Annual

Independence Village

(formerly HRA Village)

Dinner & Dance

Nessler Center – Texas City, Texas

Emcee – Mr. Pete Rygaard

Silent Auction
Bidding will close at 9:30 PM, so get ready to bid! Items include original artwork, jewelry, dining packages, sports memorabilia and much more!

Check our website:
www.independence-village.org

The proceeds from this event will be used for The Independence Village (formerly HRA Village), an assisted living facility for residents with developmental and physical disabilities

TICKET ORDER FORM

Name ___________________________
Company_________________________
Address_________________________
City ____________State___ Zip______
Phone ___________________________

Couple Sponsor           $175.00
(Two (2) tickets to Gala, and names in program)

Individual Sponsor     $100.00
(One (1) ticket to Gala, and name in program)
Individual Ticket           $35.00
**Value of each individual ticket is $35.00**

Please indicate quantity and level of tickets requested (as noted above):

Level: ___________________________

No. of tickets ______ @ $________each
Total enclosed $__________(Check)

Please bill my ___Visa or ___MasterCard
Account # ________________________
Expiration Date ____________________
Signature: ________________________

We are unable to attend, but would like to contribute, $__________.
Please bill my credit card as noted above.

Please make checks payable and mail to:
The Independence Village
905 Highway 3 North
Texas City, TX 77591

Enter your email address below to receive a reminder message.

Please complete the Captcha

Printed courtesy of www.santafetxchamber.com/ – Contact the Santa Fe Chamber of Commerce, Inc. for more information.
12121 FM 1764, Santa Fe, TX 77510 – (409) 925-8558 – office@santafetxchamber.com

10th Annual Independence Village Dinner & Dance

Date and Time

Location

Fees/Admission

Website

Set a Reminder

Description

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