Name: ______________________________________________________
 

 Address: _____________________________________________________
 

 City: _____________________________  State: _______  Zip: __________
 

 Email: _______________________________________________________
 

 Phone: ______________________________________________________

Tickets By Check or Money Order
Number of Single Tickets: ___ X $10 = $ ______
Number of 6 Ticket SETS: ___ X $50 = $ ______
Number of 14 Ticket SETS: ___ X $100 = $ ______
Make check/money order payable to: Lee King Benefit Tournament

Tickets By Credit Card*
Number of Single Tickets: ___ X $10.50 = $ ______
Number of 6 Ticket SET: ___ X $52.50 = $ ______
Number of 14 Ticket SET: ___ X $105.00 = $ ______
*We ask 5% extra to cover card processing fees.
□ MasterCard   □ Visa   □ Discover
Card Number ________________________________________________ Exp __________
 

 Would you like an application for the 2008 Lee King Benefit Tournament?    □ Yes    □ No

 
Please Complete Form And Send Along With Check or Money Order To:
Lee King Benefit Tournament - 1844 N Eufaula Ave. - Eufaula, AL  36027

DO NOT HAVE TO BE PRESENT TO WIN - TICKETS ARE TAX-DEDUCTIBLE

For More Information - Call or Email Sam Williams - (334) 687-6266

Niemann-Pick Disease Foundation - www.nnpdf.org

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