THURSDAY, NOVEMBER 3RD @ 7:30 PMBerGeron Rodeo Grounds

4271 DAVIE ROAD • DAVIE, FLORIDA 33314

CONTACT:ANGELA ROTH

at Bob Roth’s NEW RIVER GROVESPhone: 954-581-8630 • Fax: 954-321-9868

Email: squeezeme@NewRiverGroves.com

NOVEMBER 3rd / SOUTHEASTERN CIRCUIT FINALS

ORDERS WILL BE FILLED ON FIRST-COME, FIRST-SERVED BASIS • NO REFUNDS OR EXCHANGES • TICKETS MUST BE PURCHASED BY NOV.1 • COVERED ARENA - RAIN OR SHINE

Adults $15.00 Children (3 to 13) $8.00 Children under 3 Free >>>Total $

TICKET DETAILS

D A V I E / C O O P E R C I T Y A M E R I C A N C A N C E R S O C I E T Y R E L A Y F O R L I F E

PLEASE CHARGE ❑ VISA ❑ MASTERCARD ❑ AMERICAN EXPRESS

CARD NO. EXP. DATE SECURITY CODE

SIGNATURE PRINT NAME

RELAY NAME: TEAM NAME:

ADDRESS CITY STATE ZIP

DAY PHONE E-MAIL ADDRESS