Feel free to print out the form below and send your check with your order to the address on the form.
Make checks payable to TOWN HALL LECTURE SERIES


Memberships
$50 (all four lectures) ________

Sponsorhips
GOLD $1,000 includes 8 tickets  _____________
SILVER $500 includes 4 tickets  _____________
BRONZE $250 includes 2 tickets_____________


                                                             NAME______________________________________________________________

                                                            ADDRESS___________________________________________________________

                                                            TOWN, STATE, ZIP___________________________________________________

                                                            EMAIL ADDRESS____________________________________________________

                                                            TELEPHONE NUMBER_______________________________________________

SEND TO:
Betty Guynan
PO Box 116
Paxton NE 69155

For Questions: call Betty @ 530-8448