TARA IN TEXAS II

April 23 - 24, 2010

Jefferson, Texas

REGISTRATION APPLICATION

Each participant must complete an original application for “Tara in Texas II.” Participation is limited to registered guests, age 10 and above, and registrations are non-refundable and non-transferable. Seventy-five (75) premier tickets are available and will be sold on a first-come, first-served basis. Upon receipt of your application, an e-mail confirmation will be sent**.

NAME: _____________________________________________________________________________

MAILING ADDRESS: ________________________________________________________________

CITY: ________________________ STATE: ________________ ZIP: _______________

PHONE: ________________________________________________________________

E-MAIL: ** ________________________________________________________________________

METHOD OF PAYMENT

A registration postmarked on or before December 31, 2009 is $225.

A registration postmarked after December 31, 2009 and no later than April 1, 2010 is $250.

I wish to reserve one table in the sales/exhibit room: yes _____ no_____ . A $10 charge will be

added to my registration for the table.

_____ Personal check ____ Cashier’s check or money order _____ MasterCard or VISA only:

Credit card #: _____________________________________ Expiration date: _____________

Name as it appears on card: _______________________________________________

Statement mailing address if different from above: _____________________________________

______________________________________________________________

SIGNATURE: ___________________________________DATE:____________________

 

I wish to share a table with the following friends who are premier ticket holders at “Breakfast with

Bonnie” and “The Dixie Belle Showboat Returns to Jefferson”. (Every effort will be made to

honor your request -- tables will seat six or eight depending upon the venue.) _____________________________________________________________________________________

Please return completed application and payment in full at your earliest convenience to:

Tara in Texas II, 408 Taylor Street, Jefferson, TX 75657