ORDER FORM

MEMBER NAME:       ______________________________________________

RETURN ADDRESS:  ______________________________________________

                                      ______________________________________________

HOME PHONE:          ______________________________________________

WORK PHONE:         ______________________________________________

# of Adult Park Admission Tickets: __________ x $29.00 = $_______________

                        # of Hot Dogs__________# of Hamburgers_____________

# of Junior Park Admission Tickets: _________ x $28.00 = $________________

                        # of Hot Dogs__________# of Hamburgers_____________

Total $ Amount Submitted:                                                        $______________

# of Junior Lunch Tickets Only: # of HotDogs__________# of Hamburgers_____________

# of Adult Lunch Tickets Only: # of HotDogs__________# of  Hamburgers_____________

Lunch is hamburgers, hot dogs, penne marinara, salads, ice cream, drinks.

(and lunch is on us)

**We reserve the right to limit lunch tickets to 8 per member and a maximum of 200 in total**

If you prefer to pick up your tickets, please call and leave a message or send us an e-mail.

MAIL YOUR CHEQUES TO:

 DSAYR

17705 Leslie Street, Suite 11B-345

Newmarket, Ontario    L3Y 3E3

OR CONTACT US AT:

416-410-DOWN

800-649-DOWN

info@dsayr.on.ca