Great Falls Optimist Club

Come Rock N’ Roll in the Hay at the Fourth Annual

 Sponsored by the Great Falls Optimist Club

and Newcomers of Great Falls

                            November 7, 2009

7:00 – 11:00 pm

964 Walker Road, Great Falls

$50 per person

Classic Rock by Standing Room Only

Dinner provided by King Creole; 2 drinks included.

Silent auction and door prizes

Proceeds to benefit Camp Fraser

- - - - - - - - - - - - - - - - - - - ☚ Print and mail with check or use PayPal link below

Yes! I’d love to attend the Optimist Club Barn Dance on November 7th. I understand you will have a live band, great food, and the barn’s fantastic. (Tickets will not be mailed. Your name(s) will be on a guest list at the barn door.) 

Name(s):_____________________________________________________________________________________

Billing Address: _________________________________________________  Zip Code: __________________

Phone: _____________________________________________      Total number of tickets _________________

Email: _______________________________________________________________________________________

Amount enclosed: $________  ($50 per person)   

Credit Card Number: _______________________________________       Expiration Date: _______ 

ID# on card ___________                   (VISA, MasterCard, Discover)

Name on card: _________________________________________ 

 * To pay via PayPal, click here: http://www.greatfallsnewcomers.com/Barn%20Dance%20Order%20Form.htm

Please mail the bottom portion along with payment to the Great Falls Optimist Club, P.O. Box 233 Great Falls, Virginia 22066.  Questions? Call Maggie Mobley at 202-744-3745 or contact via email at  maggie.mansourkia@verizon.com.