The Purple Prose of Kingman Arizona
   Tri State "T" 7 - Sailing on the Seven Seas !!
    October 9-10-11, 2009  Laughlin, Nevada

On Line and Mail Reservations are CLOSED ~
CLICK HERE for a Last Minute Ticket Purchase.

Click Here
for On Line
portion of this
Registration!

My Name
______________________________________

My Red Hat Title
_____________________________________

RHS Chapter Name
______________________________________

Chapter # & City
_____________________________________

Home Phone Number _____________________________________

Cell Phone Number
_____________________________________
Print to mail
this form

Somthing new: This year we will be collecting important data from YOU when you sign up by completing the blanks on the next page. This information will allow us to pass on our savings to you. When this Reservation Form is opened at Purple Prose, we will match it to the information you have provided. Since you have filled out your mailing address and eMail address you'll receive accurate communications from us!

   
> Please > ONE check per order.  We will record the name above only.
Ticket Preference: Tables / Seats are Reserved for the entire event.
cost
Qty
$ Total
Silver

  Full Table, 10 seats (*Discounted to > $!20.00 each)
$1200.00
.
.
Red

  Six to nine seats (*Discounted to > $125.00 each)
$125.00
.
.
Purple

  Individual Seats (1 to 5 seats )

$130.00
.
.
             * * CIRCLE your prefered location:
     Port (Left of Dance floor) Front, Middle, Rear OR  Starboard (Right side) Front, Middle, Rear		  
Be sure to include Postage/handling for each order:
$3.00.
Enclosed: My Check Number: _______ Date _______Total Amount:
$___________

Wait - I/we want to attend Debbie Reynolds show Thursday, 10/8 OR Sunday 10/11
I understand you will eMail details so I may buy these tickets directly.

* Discount applies with ONE CHECK per order form. 
         Those paying separately will be seated with their friends only if adjoining seats are available.
 * * We will try to accommodate your requests,
         however, table assignment is based on post mark date, after all orders are opened May 6.
Please advise Special physical Needs (for how many)?:
          Walker   Wheel Chair  Scooter  Cane    Other.......
SPECIAL DIETARY NEEDS: Tell us NAMES & situation on the reverse of this form.

> > Keep this portion as your receipt < <
Checks payable to Purple Prose and mail to P O Box 4341, Kingman AZ 86402
We recommend you have your envelope hand-cancelled at your post office. Send via regular mail only,
DO NOT send Priority or Express Mail.  An eMail acknowledgement will be sent to you..
Tickets will be mailed to you in mid July.
Tri State "T" 7 - Sailing on the 7 Seas!!   October 9, 10 & 11, 2009
 Payment sent to Purple Prose: Date _________ Check #_______ $_______
 I understand that I must make my own hotel reservations at the Aquarius , Laughlin
 $10.00 handling charge for each seat refunded; NO Refunds - after 8/31/2009  
             for more details see our web site and the FAQ's at  www.RHS-PurpleProse.com

Problems printing this onto one page? Click Here!    Rev: 4/01//2009  Return to Tri State "T" itinerary
updated: 9/19/2009