Lindero Canyon Middle School MPR Wednesday, February 22, 2017 5:30 pm Dinner and Silent Auction begin, 7:15 Concert Avoid Standing in Line! Pre-Order Concert Tickets, Food and Prize Drawing Tickets Join us for dinner and a show! The Habit Burger Grill will be providing all meals. Fill out this form, mail it with a check payable to “LCMS-PFC Music Boosters” to the
address listed below or drop it in the “Jazz Nite” box in the LCMS main office. We will
have all your tickets waiting for you at the Jazz Nite Will Call Table.
Concert / Food / Prize Tickets Quantity $ Total VIP Reserved Seating $50 General Admission $10 Charburger with Cheese Meal includes Fries and a Fountain Drink
$12 BBQ Chicken Sandwich Meal includes Fries and a Fountain Drink $15 Grilled Cheese Meal includes Fries and a Fountain Drink $12 Kid’s Charburger w or w/o Cheese Meal (plain no toppings) includes
Fries and Fountain Drink $10 Onion Rings $5 Dessert - Cheesecake Slice or Cupcake $3 Water Bottle or Coffee $1 Prize Drawing tickets 1 for $5 Prize Drawing tickets 5 for $20 TOTAL $ Name: _________________________________________________________________ Phone # ________________________________________________________________ Email: __________________________________________________________________ Due Date: Thursday February 16, 2017 Mail to: Lindero Canyon Middle School Attn: Jazz Nite 5844 Larboard Lane Agoura Hills, CA 91301 Question? Contact Bicky Rippe at [email protected] or the LCMS Band Office