"This Is Gaffney"
Ticket Response Form

1 st Annual Birthday Tribute and Fundraiser
Educational Cultural Complex June 14, 2008 6:00PM

Please check your level of support
Producer - $250
Director - $100
Actor - $50
Friend - $25

Volunteer

Name(s) ________________________________________________________

Address ________________________________________________________

City __________________________State ________ ZIP Code_____________

Phone (___) ______________ Fax (___)_____________ E-Mail ____________

Enclosed is a contribution in the amount of $ __________
Make checks payable to The Floyd Gaffney Birthday Tribute
Credit cards are accepted by calling Carol Rainey at 619-263-7911

Note: To be acknowledged in printed materials, including the tribute program
($100 or more donation), your gift must be received by May 15, 2008
Please acknowledge me in the tribute program as

_________________________________________________________