ENJOY “A GRAND WINE TASTING”
Proudly presented by Wine Legend
Northern Grand Wine and Scotch Tasting Event
October 18, 2007
The Manor
111 Prospect Ave, West Orange, NJ
$85 per ticket
Southern Grand Wine and Scotch Tasting
November 8, 2007
Caffe Aldo Lamberti
2011 Route 70 West, Cherry Hill, NJ
$75 per ticket
ALL PROCEEDS BENEFIT THE CHILDREN’S HOME SOCIETY OF NEW JERSEY
For more information please contact Colleen Gehring via telephone at (609) 695-6274 or via e-mail .
NUMBER OF TICKETS: (Please Fill Out Below)
Quantity (West Orange, NJ)
$85 / ticket (West Orange, NJ)
Quantity (Cherry Hill, NJ)
$75 / ticket (Cherry Hill, NJ)
Payment Information:
First Name
REQUIRED
Last Name
REQUIRED
Address
REQUIRED
City
REQUIRED
State
Zip
REQUIRED
Daytime Phone
(
)
-
REQUIRED
Alternate Phone
(
)
-
E-Mail
Credit Card Type
Mastercard
Visa
American Express
REQUIRED
Cardholder Name
REQUIRED
Credit Card Number
REQUIRED
Expiration Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2007
2008
2009
2010
2011
2012
REQUIRED