Game Time Circle
cordially invites you to an
Evening of Elegance
Annual Awards Celebration and Gala







Saturday, February 13, 2010
4 p.m. - 9 p.m.
Blair Mill Inn -Grand Ballroom
3855 Blair Mill Road  Horsham, PA  19044

Tickets $40.00 per person
**We accept cash, money orders and all major credit cards
Sorry no personal checks accepted

Attire: Black Tie/Semi-Formal

To register, please complete the form below
or  Click here to print registration and submit in person or via fax.

Registrations are not confirmed until payment is received.
** ALL PAYMENTS ARE NON- REFUNDABLE
ONCE YOU PLACE YOUR ORDER**
Name:                
Event Name:
Billing  Address
City, State and Zip
Mailing Address
(if different)
E-mail Address:
Home Phone
Cell Phone        
Fax/Go Solo
Level/Designation
Primerica Upline      
(Please leave blank
if not a PFS rep)
RVP Name
((Please leave blank
if not a PFS rep)
Solution Number
Payment Option
**Installment plan is available - 2 equal payments
Amount Due        
Please list the
names of
additional guests
included with
your order
Comments or
Questions
Clicking "Submit" registers you for the event.
You will be redirected to a confirmation page  
where you can purchase your ticket(s).  

If you have already registered and are returning
to pay for tickets, please scroll down to the gray box below
and click "Donate"
 
To start over, please click "Reset"

Thank you.
For more information, please contact
Deidre Gray, Always A Positive Image
deidre@alwaysapi.com
Office: 866-609-8658 x701
Fax: 215-240-4697
Click the "Donate" button below to purchase tickets on-line
*Pay with your credit/debit card or your PayPal Account*
Note: Your account  will reflect a charge from Always A Positive Image

Ticket price $40.00 per person
*Single or multiple quantities. Just enter the total amount due