Ticket Order Form

Celebrity Dreamscape 2010

Friday, May 14th, 6:30 p.m.
The Cunard Center, Halifax

Contact Information

Contact Name: *

Company Name: *

Mailing Address: *

Daytime Phone: *

Email: *

Order Information

Table Signage:

If purchasing a Table, name you’d like displayed on Table Signage

Enter the quanity for each item in the field provided.

Dreamset Table - $2,000:

Includes one table of 10; mention in Program and at Podium; preferred seating; and guest memento take away.

Table of 10 - $1,500:

Individual Tickets - $150:

Method of Payment: *

Please invoice me

Call me and I will give you my credit card

List Any Food Allergies - On evening of event, please identify yourself to your server:

Please provide a charitable tax receipt for the tax deductable portion of the event:

Yes, I would like a tax receipt

For more information contact:

Crystal Cowie
Phoenix
Phone: (902) 405-3078
Fax: (902) 422-7656
Email: ccowie@phoenixyouth.ca