The Pigs in Space Group
of
Narcotics Anonymous
presents
 The 28th Annual Pig Roast
Advance Registration
To Pre Register, Send Check or Money Order
Post mark deadline for Mail in orders is May 1st, (please)

Pigs in Space Pig Roast
PO Box 2226
Middletown, Ct., 06457

  

Please Print this form and mail it to address below

Print Return Address:

Name:__________________________________________

Address:________________________________________

City:______________________   State:_______________

Zip:_____________  Phone (_____)__________________

 

Quantity Admissions________x$12.00=______________________

Admission with on site Parking______x$17.00= $_______


Newcomer Donation__________=  $_________________



 Total Enclosed         $_____________________________

 

 

 

At least one On-Site Parking Ticket required
 per car

Motorcycle parking $5.00

No Refunds

Event Date
Saturday May 21st
Rain Date
Sunday May 22nd
2011

Please Make Checks out to:
Pigs in Space Pig Roast

Quassy can process credit/debit cards this year for those last minute guests.

On Site Parking must be purchased in advance !