July 21, 2012

Ticket Order Form

________ SINGLE TICKETS @ $105 each* ________ COUPLES TICKETS @ $150 each*

________ SPONSOR MEMBERSHIP TICKET @ $300 plus meal cost of $40 for Single / $80 for Couple*

________ LIFE MEMBERSHIP TICKET @ $1,500 plus meal cost of $40 for Single / $80 for Couple*

TABLE PACKAGES FROM OTHER SIDE (Total of 10 people – indicate quantity of Single/Couple tickets)

________ ROYAL TABLE ___________ SINGLE _________ COUPLES

________ MONARCH TABLE ________ SINGLE _________ COUPLES

________ IMPERIAL TABLE _________ SINGLE _________ COUPLES

*Ticket prices include a one year RMEF "Full Membership" and a subscription to BUGLE magazine. If you are a current RMEF member, your membership will be renewed at its expiration date.

PAYMENT – Please return form with your check or Credit Card authorization.

My check in the amount of $____________ is enclosed. Please make check payable to "Houston Chapter RMEF". Your tickets will be sent to you by mail.

My RMEF Membership Number is:_________________

Name:_______________________________________________________________________

        Last                                                       First                                           M.I.

Credit Card: AMEX VISA M/C DISCOVER Account No: ___________________________________________

Name on Card (Please print)________________________________________________________________

Signature:____________________________________ Expiration Date_______________________

Listed below are the names and addresses for tickets I have ordered. Use additional sheets if necessary.

Name_________________________________ Name__________________________________

Address_______________________________ Address________________________________

City ________________ State_____ Zip ______ City ________________ State_____ Zip ______

Phone _________________________________ Phone__________________________________

RMEF Membership # _____________________ RMEF Membership # _____________________

Contact:   Kirk Waldron Phone: 281-219-4600 wk      Home: 713-688-2627

                                       Fax: 281-219-4666 wk          Fax hm. 713-688-2340

  mail:     P.O. Box 926229      Houston, TX 77292-6229

  email: gvkwtx@aol.com      Cell: 281-831-5980

or Tom Hood Home: 281-497-1775 Cell: 713-416-0459

            12310 Nova Court

            Houston, Texas 77077 - 0459

  email: gone.hunting@sbcglobal.net