Please print, complete and mail to:

ABAC Foundation, Inc.
2802 Moore Highway
ABAC 13
Tifton, GA 31793  

FAX    229-391-4901

Tickets and Donation:

Number of Reserved Tables: ___ x $1,250 = ________

Number of Dinner/Concert Combination Tickets: ___x $125 = _____

Number of Concert Tickets: ___x $75 =________

Additional Donation for Scholarships  = ____________ 

Amount Total =  $ ____________________________ 

Seating Preference: 

1st  Choice:  Row Letter ______  Seat Numbers ___________
2nd Choice:  Row Letter ______  Seat Numbers ___________
3rd Choice:  Row Letter ______  Seat Numbers ___________
4th Choice:  Row Letter ______  Seat Numbers ___________

Each $75 ticket will qualify for a charitable tax donation of $25.
Your support of ABAC Students is appreciated!

Ticket Order Information:

    Name:____________________________________________________________________________

    Billing Address: _____________________________________________________________________

    City: __________________________________    State: ___________  Zip: _____________________

    Phone Number: __________________________  E-mail: ____________________________________

Payment Options:

    Enclosed is my check for $_____________  

    Bill My Credit Card $________________            
                 Visa   Mastercard   American Express  Discover

                Card Number: _______________________________________________Exp. Date________   
                Name on Card: ______________________________________________________________
                Card Billing Address: __________________________________________________________

__________________________________________        __________________________________
Signature                                                                            Date