3rd Annual Blue Dot Ball Ticket Order Form

September 18, 2008 -  7:00 pm

Soho Square Ballroom,  Homewood, AL.

Name_____________________________

Address ___________________________

City/Zip____________________________

E-mail _____________________________

Phone  ____________________________

______ Number of Tickets @ $75

______Sponsor $750 (8 tickets & table)

Please make checks payable to:

JCDEC Blue Dot Ball

PO Box 10522

Birmingham, AL   35202

Contributions to the Jefferson County Democratic Executive Committee are not tax deductible and will be reported as required by the Alabama Fair Campaign Practices Act.

Thank you.  Your contribution will help build the Democratic Party in Jefferson County and help carry our message and our values into every community in the county.

Questions?

Robbie Yarbrough  (205) 251-DEMS (3367)   chair@jeffcodem.org