TCA 70TH ANNUAL BANQUET TICKET ORDER FORM

________TICKETS @$75 ________

TABLE OF 10 @$750 ________

NAME__________________________________________

ADDRESS_______________________________________

CITY,STATE,ZIP_________________________________ PHONE

NUMBER________________________________

EMAIL ADDRESS________________________________

CREDIT CARD #_________________________________
EXP DATE______________________________________

Submit to THE TOUCHDOWN CLUB OF ATLANTA
1242 MARYDALE DR
LILBURN, GA 30047
Fax # 770-931-2168

Email lb@vba2000.com