2009 Awards Banquet Ticket Order Form

US 13 Kart Club

&

WKA State Divisional Series

 December 12, 2009

At Georgetown Cheer Center

Sand Hill Rd. Georgetown, DE 19947

Doors open at 4:00PM – Dinner Served at 5:00PM

Name____________________________________

_____# Adult Tickets @ $25.00 ea. = $ _______

_____# Children (6-12) Tickets @ $15.00ea =$_______

____# of Children 5 and Under Attending Free

Total Amount Enclosed $ ________

Make Checks Payable To: US.13 Kart Club

Mail To:

Phyllis Hayes                 or             Sherry Pearson

22091 Lewes Georgetown Hwy         13697 Mile Stretch Rd

Georgetown, DE 19947                    Greenwood, DE 19950

302-856-7835                                                                                302-349-5169

Mail in order forms with payment to either address above.

            No tickets will be sold after November 29, 2009.

    ****Tables seat 8; Please note on form if you would like to be seated with anyone.****