Kootsie Ball Ticket Mail Order Form
Please print & mail
$30   Available by mail until the post marked date of December 24th.
Any orders received after that post marked date will be returned.

To order tickets by mail, print out this ticket form, fill out & send with payment:
                         Number Attending:________    Amount Enclosed: ________
 Send My Tickets to:
   First Name:____________________     Last Name: ____________________
 ________________________________________________________
 ________________________________________________________
   City: _______________     State: ____________     Zip Code: __________
   Home Phone: _______________     Work Phone: _______________
   E-mail: ______________________
   Have you ever attended the Kootsie Ball before? ______    What year(s): ___________
   Who/How did you hear about our web site? ______________________
   Name of any guests attending with you:
   _____________________________________________________________
   _____________________________________________________________
   _____________________________________________________________
   Send To: Make checks or money orders payable to:
   THE KOOTSIE BALL  The Kootsie Party
   P.O. Box 308
   Buffalo, NY 14223