<p> 2015 FPPC Annual BBQ Dinner and Social Ticket Order Form</p><p>Please indicate the number of tickets and/or corporate tables you would like to order:</p><p>TICKETS/CORPORATE TABLES:</p><p>(#) Single Tickets at $150.00 each $ </p><p>(#) Corporate Tables at $1,500.00 each (10 seats) $ </p><p>POWER POINT SLIDES:</p><p>I want my company to be represented in the Power Point presentation (Note: The purchase of a corporate table includes one power point slide of your company at no additional charge) </p><p>______(#) additional slides of my company @ $500.00 each (in addition to free slide w/corporate table purchase) I wish to use the slide(s) from last year I wish to present a new or updated slide $ </p><p>(#) slides of my company @$500.00 each (no corporate table purchased) I wish to use the slide(s) from last year I wish to present a new or updated slide $ </p><p>Power Point slides are coordinated by Chuck Bradley. For questions or help with your slides, please contact Chuck @ (863) 904-0641 or email [email protected]. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The below information is required and will be used for reporting purposes and to get your tickets to you. Please provide all information. Tickets will be sent to you via US Mail at the address provided below unless specified otherwise. Order early to allow sufficient time for your tickets to reach you prior to event date.</p><p>(PLEASE PRINT BELOW INFORMATION)</p><p>Name: Occupation: ______</p><p>Company: Telephone: ______</p><p>Address: Email: _ </p><p>Total Due $ (PAYMENT DUE AT TIME OF ORDER – PLEASE SEND CHECK WITH ORDER FORM) (OR……..order online for credit card purchases)</p><p>Please mail tickets to the below address (if different than above) or specify how you would like to get your tickets:</p><p>Address: </p><p>Order form must be received by FPPC no later October 19 via any of the below options: (If you are not able to get your order in by October 19, please call the below telephone #)  Mail: Florida Phosphate Political Committee, Inc., P. O. Box 1384, Mulberry, FL 33860  Website: www.floridaphosphatepcinc.com (online order form – pay with credit card)  Email: [email protected] (tickets will be reserved and mailed upon receipt of payment)  Fax: 813-571-6907 (tickets will be reserved and mailed upon receipt of payment)</p><p>If contacted for your purchase by a ticket representative for the FPPC, please indicate the name of that person and company: </p><p>Please call Connie Shroyer at 813-500-6755 if you have any questions.</p>