The Aqua Turf Country Club, Southington, CT
Banquet Ticket: $40.00 Each
Sponsor Ticket: $200.00 — Includes One Dinner Ticket,
$100 Worth of Bucket Drawing Tickets, Events Program
Listing and 1 Sponsor Raffle Ticket
Table Sponsor: $400.00 — Includes Ten Dinner Tickets, Events Program Listing and 10 Sponsor Raffle Tickets
Live and Silent Auctions • Drawings • Door Prizes for Fishermen, Hunters and Gun owners • Firearms • Fishing Equipment • Wildlife Art • Handgun Permit Courses • Hunting and Fishing Trips • Specialty Items for Ladies
Club Name ______________________________
Name * First ______________
Last Name * ________________
City * ____________________
ZIP * ____________.
Email * ________________________
Phone * ___________________
We will only call you if we have a problem with your order.
- Single Banquet Ticket(s): # tickets @ $40 each = $ ______
- Sponsor Ticket(s): # tickets @ $200 each = $ _______
- Table Sponsor: # tables @ $400 each = $ __________
- Total # of Guests Attending: __________
- TOTAL: $ _________
Credit Card account #:__________________________
Exp date: ________
Check Enclosed (made payable to “CCS”)
CALL (203) 245-8076
OR EMAIL your completed form to: firstname.lastname@example.org
OR MAIL your completed form to:
CCS, c/o Janet S. Crook,
208 Copse Road, Madison, CT 06443
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