Please fill out the form below to PURCHASE TICKETS FOR ANY OF THE EVENTS BELOW

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HUMANE SOCIETY OF LOUISIANA
PURCHASE EVENT TICKETS

YES! I WANT TO PURCHASE TICKETS TO THE CROWNE PLAZA LUNCHEON on August 29, 2008 ($25 per ticket) (insert quantity)

 

YES! I WANT TO PURCHASE TICKETS TO THE YAPPY HOUR COCKTAIL PARTY on August 30, 2008 ($50 per ticket) (insert quantity)

 

A receipt for your tickets will be sent to your email address within 24 hours. Please bring the confirmation to the event.

 
  FIRST NAME:
  LAST NAME:
  EMAIL ADDRESS:
  HOME ADDRESS:
  CITY:
  STATE:
  COUNTRY:
  ZIP:
  CREDIT CARD NUMBER:
  EXPIRATION DATE: Month:

Year:
  TOTAL NUMBER OF TICKETS PURCHASED:
  TOTAL AMOUNT CHARGED TO MY ACCOUNT: