Ticket Order Form
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To register for a Vintage Affair, please fill out the form below.
Your tickets will be mailed to you.

Early Bird Ticket prices are $35.00.
Ticket prices are $40.00.
Early Bird Pricing Ends September 28.
All proceeds will support the Sinclair Annual Scholarship Fund.
I accept with pleasure.
I regretfully cannont attend but I am donating to
the A Vintage Affair Fundraiser.


First Name:   Last Name:
City:    State:     Zip:
Phone: xample: xxx-xxx-xxxx
Email Address:

I am a: Sinclair Graduate Sinclair Employee
  Former Student Other
Graduate Information :

Graduation Year:     Major: 
  Employer:    Title: 
How did you hear about A Vintage Affair?  

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5:30 p.m. to 8:30 p.m.
David H. Ponitz Sinclair Center, Building 12
In The Great Hall
Names of persons attending:
Number of persons attending at:

Early Bird Ticket price of $35.00:
  Ticket Price of $40.00:
  Early Bird Pricing Ends September 28
Total Ticket Amount: $

Payment Method:
Red indicates mandatory fields

Card Type: 
Card No.:   Exp. Date:  ex: mmyy 
Card Holders Name:
Human Validation

Please type the letters as you see them in the image above. The letters are case sensitive