- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Mini Fest Jazz Picnic Ticket Order Form

Decatur Conference Center and Hotel

September 19, 2010, 2 – 7:00 PM

Name ___________________________________________

 

Address __________________________________________

 

City __________________________  State _______  Zip ___________

 

Number of Tickets: _______ 

Amount of Check: $_______  (made out to Juvae Jazz Society)

 

Mail completed form and check to :  Juvae Jazz Society    P.O. Box 2323    Decatur, IL 62524

 

 

Note: Contact the Hotel directly for room reservations at 217-422-8800