2011 Awards Banquet Ticket Order Form
 
US 13 Kart Club Track
&
WKA State Divisional Series
 
February 4, 2012
 
Salisbury Elks Lodge
401 Church Hill Ave, Salisbury, MD 21801
 
Doors open at 6:00PM – 10:00PM
 
Name____________________________________
 
_____# Adult Tickets @ $25.00 ea. = $ _______
 
_____# Children (12 and under) Tickets @ $15.00ea =$_______
 
Total Amount Enclosed $ ________
 
Make Checks Payable To: US.13 Kart Club
 

Mail To: 

Cindy Adkins
24744 Prettyman Rd.
Georgetown, DE 19947
 
Names will be confirmed at the door
No tickets will be issued

Mail in order forms with payment to the address above

            No tickets will be sold after January 26, 2012.

Please do not mail cash