Broadcast Pioneers of Philadelphia
2015 Person of the Year/Hall of Fame Banquet
Friday, November 20, 2015

Ticket Order Form!
Please print so we can read it!

Name___________________________________________

Address_________________________________________

City/Town__________________State______ZIP_________

Phone number (include area code)______________________

E-mail address_____________________________________

Names of Guests___________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

________________________________________________

Member*
$88.00 x _____ =
$ ________
Non-members
$98.00 x _____ =
$ ________
Tables of 10
$980.00 x _____ =
$ ________
Additional Gift
(please, if you can)
$ ________
 
Total Enclosed:
$ ________

*The Member price is available for the Member only. Non-member guests of members pay the Non-member price.
Your canceled check is your receipt. Your placecard(s) will be available at the door. No tickets will be mailed.

All tickets must be purchased in advance. You CANNOT buy tickets at the door.

PLEASE MAKE CHECKS PAYABLE TO:
BROADCAST PIONEERS OF PHILADELPHIA

Post Office Box 2886
Bala Cynwyd, PA 19004