TV Sponsor
Bernadette N. Swan Social Care Foundation
BILL REES YMCA
10211-105 St, Edmonton, Alberta T5J 1E3
Tel: 780-761-0881, 780-994-0669
E-mail: bnsscf5@yahoo.ca
Website: www.bnsscf.org
KEYNOTE SPEAKER: Dr. Marianne Miles. (Registered Psychologist)
MC: Bernadette N. Swan BA, M.T.S. (Executive Director)
TICKET ORDER FORM
Name: ---------------------------------------------------------------------------------------------------------------------
Address: ---------------------------------------- City:
Postal Code: --------- -------- Phone: Alternate Phone: -
Number of Adult Tickets: ------------------- - @ $80.00 ea. = $
• We provide: Tax receipt of $30.00 on each adult ticket. Charitable registration number:
86823 0194 RR0001
Number of Teen Tickets: ------------------ @ $40.00 ea. = $
* Seating Arrangement: Table seats maximum of eight persons. Table numbers will be provided at the event.
Method of Payment:----------------------------
Send Ticket Order Form and Payment to:
Bernadette N. Swan Social Care Foundation
10211-105 St. Edmonton, AB. T5J 1E3
For those who are buying their tickets now, your tickets will be available at the Banquet Hall, Delta Edmonton Centre Suite Hotel 10222-102 Street.
Grandparents Award of Distinction Gala Banquet and Silent Auction starts at 5:00 P.M. on Saturday, September 10, 2011. Dress is formal or semi-formal.
BNSSCF protects your personal information. All information provided will be protected under Canada’s privacy laws. We will not use any personal information for any purpose other than intended. We thank you for your support of this prestigious program. Proceeds will support essential programs that the BNSSCF
provides for seniors.
PRINT AFTER FILLING OUT THE FORM
