Ticket Sales for A Night of Laughter, to benefit the Elija School for children with Autism www.elijaschool.org

_____ Number of Tickets $20.00 (2 beverage minimum purchase, must be 21 and over)

***Tickets will be mailed to you, please get your order in by June 2nd 2008

Total amount enclosed $________

Name (s) _______________________

_______________________________

Address _________________________

_______________________________

Phone ______________________ Email_______________________

Organization or Affiliation (ie: Parent,Speech,Teacher)_____________________

Send Check or Money Order Payable to:

Friends of the Elija School

665 Newbridge Road

Levittown NY 11756

We also take Visa/Mastercard (circle one) Acct#____________________________ Exp Date:________

Card Holders Signature: _____________________________

Phone:516 433 4321 Fax 516 433 4324 (for information or questions only. Do not fax a reg form)

EMAIL US -> Elija@optonline.com (do not email any "reserve request" or email reg forms)