General Hospital Fan Club Weekend
Kids Ice Cream Social
Join Brooklyn Rae Silzer, Nicolas Bechtel,
Michael Leone & Hannah Nordberg
Friday August 7th – 4:30-6:30PM
Portion of Proceeds to Shriner’s Hospital For Children LA
Your Name:________________________________________________
Complete Address:____________________________________________
Guest
Name:____________________________________________________
Your E-mail
Address:___________________________________________________
Number of Tickets
Ordered:___________________________________________________
Total Amount
Enclosed:___________________________________________________
Kids Ice Cream Social
$65 Per Person (Portion of Proceeds to Shriner’s Hospital for Children LA)
Do not combine money orders for different events. Your orders will be returned for correction,
delaying the process of your order.
If you want to sit together you “must’ purchase your tickets together. Please do not ask to be
seated with someone if you did not purchase your ticket with that person or group. Once tickets
arrive, seats cannot be added to a particular order. No exceptions.
Each order must include the name and all required information for every single ticket
purchased. Required information will be name, address, city, state and email address. No
information = no ticket. This includes orders for several individuals being mailed to one
address. No SASE this year as we are going green. Your ticket/confirmation will be emailed to
you. Again, a name, address, city, state and email address for point of contact MUST be included
for EACH TICKET SOLD.
Mail this order form and payment (ONLY MONEY ORDERS ARE ACCEPTED AND THEY
MUST BE MADE OUT TO CLAIRE MULLAN TO BE PROCESSED) to:
Claire Mullan
11315 Blue Sage Drive
Kagel Canyon, CA. 91342
***ALL Tickets are non-refundable*** Please do not send your order with "signature
required" - it will only delay your order and eventually be returned to you by the postal
service. Thank you!