Just Plain Folks Music Awards Show

November 4, 2006

Name
Email
Address
City
State
Zip
Country
Phone
Nominee Name
Number of Attendees
Cost Per Attendee	$65.00
Total Payment (65.00 x # of attendees)
	Please make all checks and money orders payable to: Just Plain Folks
	The address to mail your check or mail order is: Just Plain Folks Attention: Music Awards 5327 Kit Drive Indianapolis, IN 46237
	*print a copy of this form with your browser print function to send with your payment before submitting.
	The submission of the form holds the number of seats requested but the reservation will not be finalized until the payment is received.
	You will be emailed a confirmation of your reservation when payment is received.