Hosted by Founding Sponsor Dr. Roberta McKay Awards Ceremony Gala And Runway Drag Saturday, March 13 Conexus Arts Centre 200 Lakeshore Drive, Regina Cocktails begin at 5:00 pm Banquet begins at 6:00 pm SHEA Individual Ticket - $75 Table of 8 - $550 – ** a tax receipt in the amount of $40 per ticket will be issued Name: ________________________________________________________ Address: ______________________________________________________ City ___________________________ PC: ___________________________ To purchase a ticket using Visa or Mastercard, or if you wish to be invoiced, please call 1-877-210-7623 or in Regina at 924-8420 Or, complete the below order and mail to: AIDS Programs South Saskatchewan, 2735 5th Avenue, Regina, SK, S4T 0L2 Method of Payment: ? Mastercard ? VISA ? Cheque (made out to AIDS Programs South Saskatchewan) Number of Tickets ____________ Amount: ________________ Card #______________________________________ Name on Card _________________________Expiry date__________ Signature____________________________ In what name should the tax receipt be issued? _____________________________ Do you wish to be seated with or near a certain person or group? ______________ Do you have any dietary considerations? Vegetarian dish ___________ Allergy to __________________ For more information please contact Laurie Sampson at 306-924-8420 or by email at lauriesampson@sasktel.net.