1. Print out this form by clicking your browser's "Print" icon;
2. Complete printed form with name, address, phone number, ticket quantity and total amount of order
3. Advance tickets ordered after October 3, 2011 will be available for pickup up at the gate on October 15, 2011. Advance ticket order forms postmarked after Friday, October 7, 2011 will be returned unprocessed!!
4. Mail the completed form along with your check or money order by October 7, 2011 to:

Yadkin Valley Grape Festival
PO Box 1840
Yadkinville NC 27055

Your Name: _______________________________________________________

Your Mailing Address: ___________________________________________________

Your City: __________________________ State: ________ ZIP: _____________

Your Phone Number: ____________________________________

# of Advance Tickets Desired: ________ @ $15.00 ea = TOTAL ENCLOSED: _____________