
2008 Celebrating the Valley
“Jeans
and Jewels”
Thursday, October 2nd at the Casa Real Event Center
Please
print, complete and return this form to
Tri-Valley
Conservancy
1736 Holmes St., Livermore,
CA 94550
or FAX: 925.449.8709
Company/Individual*:
___________________________________________________________
Contact*:
_____________________________________________________________________
Address*:
_____________________________________________________________________
City/State/Zip*:
_________________________________________________________________
Telephone*: _________________________________ Fax: ______________________________
Email*:
_______________________________________________________________________
□
Would
like to purchase _____ tickets @ $75 each.
□
Enclosed
is my check in the amount of $________________________
□
I
would like to pay with my credit card
Card # __________________________________________ CC Security
#________Expires___________
Signature:
_______________________________________________ Date: __________________
*Please be sure to include this
information so that if needed we can contact you.
Tri-Valley Conservancy:
1736
Holmes St., Livermore, CA 94550,
Phone:
925-449-8706, Fax: 925-449-8709,
email:
info@trivalleyconservancy.org,
www.trivalleyconservancy.org
Tri-Valley Conservancy Federal Tax ID # 94-3216468