Grand Opening Reception
+ Mosaic Exhibition
July 30th, 2005 .:. 5:30pm to
9pm
ticket order form: just print, fill out and mail or fax:
Mailing address:
| Name | _________________________________________ |
| Address | _________________________________________ |
| City, State, ZIP | _________________________________________ |
| Phone | _________________________________________ |
| _________________________________________ |
Ticket prices are on a sliding scale, ranging from $5 to $50. 100% of the proceeds will be used to fund a charitable public art mural installation at St. Luke’s Hospital in San Francisco.
Ticket quantity desired _____________
Total amount enclosed (or charged to credit card provided below) _____________
Send this form along with your check
payable to:
my Atlantis / 1890 Bryant Street #207 / San Francisco, CA 94110
or feel free to use your credit card by mail, phone or fax:
p. 415.503.1711 / f. 415.503.1788
| Name on card | _________________________________________ |
| Visa / Mastercard # | _________________________________________ Exp. date _____/______ |
| Billing ZIP code | _________________________________________ |
If time, we will return your tickets by mail. Otherwise, we will hold them at the door for you. Thank you for your support!