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Expense Form

Event Ticket Purchase

2010 Annual Keep Nevada Blue Dinner

Use PayPal to purchase the tickets at $65.00 per person or $600.00 for a table of 10.

Important during the PayPal checkout process:

make sure you leave

· your name and address

· your email & phone number

· the number of tickets purchased

· your choice of entre(es) (prime rib) (salmon) (vegetarian) or describe your special dietary restrictions.

· if paying for a table indicate your group

(Note. There is no need to logon to PayPal on the payment page, just follow the instructions for non PayPal account.)