HARMONY FARMS, INC. , “Horses for the Handicapped”
5300 Stadium Parkway Rockledge, Fl. 32955

(321) 631-9433 FAX. (321) 242-1707

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BUCKAROO BALL

JUNE 12, 2010

TICKET, AUCTION & SPONSOR ORDER FORM

NAME/BUSINESS NAME:______________________________________________________________________

ADDRESS: _______________________________________________________________________

______________________________________________________________________________


CONTACT PERSON: _________________________________________ PHONE:_______________


SPONSORSHIPS

Circle the category, indicate how sponsorship should read above & include a business card with check:

BIG RED BARN SPONSOR (10 Tkts & 1000 chips) - $3,500

GOLD NUGGET SPONSOR (8 Tkts* 800 chips ) - $2,000

SILVER SPUR SPONSOR (6 Tkts & 600 chips ) - $1,000


HORSESHOE SPONSOR (4 Tkts & 400 chips ) - $500

CRACKER SPONSOR (2 Tkts & 200 chips) - $200

WRANGLER SPONSOR (1 Tkt & 50 chips) - $100

TICKET REQUEST - RSVP by JUNE 10, 2010

$50 per person/Cash Bar
Reserve a Corporate Table for 10 w/Name Recognition Sign at table

No. Of Tickets: _______ Circle distribution preference : PICK-UP AT EVENT or  MAIL


**If you want to reserve a full table or have friends sit at your table, check the applicable box below.  
We will have assigned seating.


_________RESERVE A FULL TABLE             __________PLEASE SEAT FRIENDS AT MY TABLE
                                                                                   *PLS  LIST FRIENDS


PLEASE SEND CHECK WITH YOUR TICKET REQUEST, PAYABLE TO HARMONY FARMS, INC.
CREDIT CARD WILL BE ACCEPTED AT THE EVENT. THANK YOU FOR YOUR SUPPORT!


SIILENT AUCTION DONATION
WOULD YOU LIKE TO DONATE AN ITEM FOR OUR SILENT AUCTION?  
WE PROVIDE RECEIPTS FOR ALL ITEMS.

Please include a business card and any information you would like displayed with the item at the auction.

We can arrange pickup or bring item to the barn.


ITEM DESCRIPTION: _______________________________________________________________


RETAIL VALUE: _________________


All Proceeds to benefit the Therapeutic Riding program at:

Harmony Farms, Inc., “Horses for the Handicapped, a not-for-profit, 501(c)(3), volunteer based organization providing horse-related activities for disabled individuals. Tax ID: 59-3114190.