BENEFIT DINNER

Friday, October 9, 2009
$300 per person
$200 for tri-county area residents

Check in at Chinati Foundation front office at 5:15 PM

Cocktail Reception 5:30 PM
Please note: the reception will be held in the open field at the concrete work.
Please wear appropriate footwear; Open-toed shoes are not recommended.

Dinner at the Arena 7 PM

Tickets will not be mailed. A copy of this completed form will be mailed or faxed and serve as a receipt.

Type of Ticket:	tri-county resident non tri-county resident
How many tickets do you want to purchase?	1 2 3 4 5 6 7 8 9 10
Name of Dinner Seat 1: Name of Dinner Seat 2: Name of Dinner Seat 3: Name of Dinner Seat 4: Name of Dinner Seat 5: Name of Dinner Seat 6: Name of Dinner Seat 7: Name of Dinner Seat 8: Name of Dinner Seat 9: Name of Dinner Seat 10:
Company Name:
Mailing Address:
Phone Number:
Fax Number:
E-Mail:
Security Code:

For IRS purposes, Chinati estimates the fair market value of each ticket to be $75.