Allegheny Land Trust
Bounty in the Barn Ticket Order Form


Please respond by October 1, 2008.


  I/We would like to join in the Bounty in the Barn harvest celebration to benefit Allegheny Land Trust!

       Number of tickets desired at $100 per person: 
            ($60 of each ticket may be tax deductible.)

       Total amount enclosed for tickets: $

or

  I am/We are unable to attend, but would like to participate with a contribution in the amount of  $ .


Provide the following information:     ( * indicates required field )

Name(s)

  *

Address

  *

City

  *

State

  *

ZIP

  *

Phone

     

E-mail

Print this completed form and mail it with a check in the amount of your ticket purchase or contribution payable to Allegheny Land Trust to:

Allegheny Land Trust
The Car Barn Shops
409 Broad Street, Suite 206A
Sewickley, PA  15143

Thank you for your generous support of Allegheny Land Trust!

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