Print this form and mail in to purchase tickets to

The ELIJA SCHOOL COMEDY FUNDRAISER

GUNS & HOSES

at Hofstra University  8 PM January 13th 2007

First & Last Name:_________________________________________________

Street Address:___________________________________________________

City , State & Zip:_________________________________________________

Email Address:____________________________________________________

Contact Phone Number:_____________________________________________

_______ Qty @ $30.00 each General Admission Seating

_______ Qty @ $45.00 each Geneal Admission Seating & Event TShirt

_______ Qty @ $75.00 each General Admission Seating, T shirt & VIP Seating

Make checks payable and mail to :

Friends of The Elija School

665 N. Newbridge Rd

                        Levittown NY 11756                        

Your cancelled Check will serve as your confirmation. Your name(s) will be added to a guest list.