Thelma Sanders Scholarship Dance 2022 - December 26th at the Hilton of Jackson

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Please join us as we honor our former president for her dedication and commitment to education, to community service and to Tougaloo College. Purchase your ticket to the event OR enter the DRAWDOWN. You do not have to be present to win!!!

Name *

Email Address *

Phone Number *

How did you find out about our dance?

JTAC Member

Television News Highlight

Radio/Newspaper Ad

FaceBook

Instagram

Eventbrite

Solicitation from Honoree

Other:

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If you are purchasing an ad, then how will you submit your camera-ready image?

I will mail it to P.O. Box 539; Tougaloo, MS 38714

I will email it jtac.tssd@gmail.com

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TSSD TICKETS: Tickets to the event are $50 each. How many ticket(s) would you like to purchase? Enter the number below

Single Ticket -$50 - ($52.00 PayPal)

Two Tickets - $100 - ($103 Pay Pal)

Three Ticket - $150 - ($154 - PayPal)

Four Tickets - $200 - ($206 - PayPal)

Table of 8 - $500 - ($514 PayPal)

For 5 to 9 tickets.... please complete another form.

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If purchasing a table, what name should be place on the placard?

DRAWDOWN 2022: Enter for a chance to Split The Pot... up to $2022! Each entry is $25.00 . How many tickets to the DRAWDOWN would you like to purchase. Enter that number below. (If using PayPal, add at least 3%.) YOU DO NOT HAVE TO BE PRESENT TO WIN!

What is/are the drawdown ticket number(s) assigned to you? If you do not know, we will send you an email with this information.

How much will be sent for TSSD Dance Tickets? *

How much will be sent for DRAWDOWN entry?

What is the TOTAL amount for this order? (Advertisement + Tickets for Event + DrawDown Entry) *

Please select the method of payment you will use to submit your payment. *

Make check payable to JTAC, P.O. Box 539, Tougaloo, MS 39174. (NOT Tougaloo College)

Submit payment via PayPal to JTAC1869@gmail.com. Make sure the 3% is added to the base price.

Payment given directly to JTAC member listed below who solicited support.

Which JTAC member asked for your support, if applicable?

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