Art in Bloom Registration Form
Dancing in Bloom

Friday, April 11 | 8:00 p.m. – 11:00 p.m.
$70 per person (food, wine, and beer; cash bar for mixed drinks)
Registration Deadline: Monday, March 31, 2008
Name(s)
Street Address 1:
 Street Address 2:
City:
 State:
 Zip:
Phone:
 E-mail:
Please indicate how many tickets you would like to purchase.
$70 per person (food, wine, and beer; cash bar for mixed drinks)
Total Amount:
I hereby authorize the Delaware Art Museum to charge the total amount entered above to the credit card indicated below:
Card type:
 Name as it appears on Credit Card:

Account Number:

Expiration Date:
 
Delaware Art Museum
2301 Kentmere Parkway | Wilmington, Delaware 19806
302.571.9590 | 302.571.0220 (fax)
www.delart.org