A Night of Dueling Pianos at the Burlington Train Depot Friday, November 30, 7PM – 10PM Burlington Train Depot, 300 S Main Street Music, Comedy, Good Times, Making a Difference Includes Cash Bar, Dessert, & 2 hours of Dueling Pianos by Fun Pianos All proceeds support local Scouts and Career Explorers. Event Committee: Rick Buller, CPA, Rick Buller Financial Services | Mark Crooks, Burlington Fire Department | Becky Sherwood, Sherwood Company | Joe O’Brien, Imagine Indoor Sports Rec | Matthew Rinker, Shelter Insurance For more information contact David Gilbert at (319)754-8413 or [email protected] Dueling Pianos Registration Mississippi Valley Council, Boy Scout of America 3007 Flint Hills Dr, Burlington, IA 52601 | 2336 Oak St, Quincy, IL 62301 | [email protected] Please register before November 21st for planning purposes. Tickets _____ Individual Ticket $75 _____ Couple (Two Tickets) $135 Sponsorships All sponsors will receive an engraved beer mug and recognition in the program & Scouting families eBlast. A portion may be tax deductible. _____ Campership Couple $225 Two tickets, two adult beverages, & a Campership awarded in your name to a Scout for Camp _____ Scoutreach Supporter $275 Two tickets, two adult beverages, & support of an at-risk youth in the Stone Garden Scoutreach _____ Food & Drink Sponsor $325 Two tickets, two adult beverages, & signage at bar, food table, and welcome table _____ Set Sponsor $400 Four tickets, four adult beverages, & recognition during a music set Donation _____ I am unable to attend but please accept a donation in the amount of $_________ Name for each ticket: _________________________________________________________________________________________________ E-mail(s): ___________________________________________________________________________________________________________ Please return this portion with check or include credit card info: ___American Express ___Discover ___MasterCard ___Visa Name on Card: _________________________________ Signature: ___________________________________________________________ Card #: _____________________________________ Exp. Date: ______ /_______ CVC#: ______ Billing Address:_______________________ 1-4231-826-90 .