Reserved seating. As payment comes in your seat will be assigned.

Tickets sold only through the Foundation of Mon General
Tickets must be purchased in advance

 

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 Saturday, November 15, 2008

 

Number of Tickets ______ @ $22 each   Total $________

 

 

o Check Enclosed    o Charge to my    o Visa    o MasterCard    o Discover

 

Name & Address: __________________________________________________________________

 

__________________________________________________________________________________

 

Charge Card Account No. ___________________________________________

 

Expiration Date _________ Signature_______________________________________________

 

Telephone Number Day (_____) ____________________ Night (_____) __________________

 

Please make checks payable & mail this form to:

THE FOUNDATION OF MON GENERAL HOSPITAL

1200 J. D. ANDERSON DRIVE

MORGANTOWN, WV 26505

Federal Tax Exemption No. is 55-057-0338

QUESTIONS: Please call Debbie Harn at (304) 598-1337

 

The Foundation is a non-profit organization. West Virginia residents may obtain a summary of the registration and financial documents from the Secretary of State, State Capitol, Charleston, WV 25305.

Registration does not imply endorsement.

 

WE THANK YOU FOR YOUR SUPPORT

 

Special rates for the Hubcap Attendees if staying overnight at Lakeview Resort

Ask for the Hubcaps Room Rate

Call Lakeview Reservations at 304-594-1111 or 1-800-624-8300