Maryland Music Educators Association

Awards of Excellence Luncheon

Noon, Saturday, April 17, 2010

Terrace on the Green, Turf Valley

2700 Turf Valley Road, Ellicott City

TICKET ORDER FORM

            Name _______________________________________________

            Address ______________________________________________

            City _________________________ State _____ Zip __________

                        Number of tickets ______ X $28.00 = total $__________

Please enclose check for above total or provide credit card information below:

            Circle one:     Discover     MasterCard     Visa

            Credit card number ___________________________

            Expiration date __________

            Print your name as it appears on card _____________________

            Your signature ____________________________

                        Mail to:           Maryland Music Educators Association

                                                791 Aquahart Road, Suite 117

                                                Glen Burnie, MD 21061