Advanced Tickets Purchased by November 1st

_________$50 / ADULT ONLY Please

  __________ $400 / Table

Tickets Purchased After November 1st

_________$65 / ADULT ONLY Please

  __________ $520 / Table

 See reverse side for seating request.

___________ Unable to attend, but would be proud to support the Foundation.

Enclosed is a check for $_________________ payable to:

The Nick Erdy Foundation

__________ I am interested in donating auction items.

Please contact Tara Rosselot-Durbin at (513) 732-6115 for more information.

Please RSVP by November 1st

Name_______________________________________________________________

Address_____________________________________________________________

City____________________________________State_________Zip_____________

Phone (________) ____________________________________________________

Email_______________________________________________________________

                (Will be used to inform you of future Nick Erdy Foundation Events only.)

I would like to be seated near:

_____________________________________________________________________

_____________________________________________________________________

______________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Mail to:  Nick Erdy Foundation

8281 State Route 134

Lynchburg, OH 45142