1. Mount Nittany Night
Friday, September 30, 2011
6:00 pm - 8:00 pm
Mount Nittany Vineyard & Winery
300 Houser Road
Centre Hall, PA 16828-8002
www.mtnittanywinery.com
Name:______________________________________________________________________________________________
Address:____________________________________________________________________________________________
City:_______________________________________________ State:_____________ Zip Code:____________________
Email:______________________________________________________________________________________________
Order Quantity:
___ Tickets at $30 per person
___ I am unable to attend but would like to make a donation of $___________
Make checks payable to: Mount Nittany Conservancy or complete the credit card information below
Credit Card Information (note: credit cards will be processed through Paypal):
Name on Card: ____________________________________________ Credit Card Type: Visa MasterCard AmEx
Credit Card Number:___________________________________ Expiration Date:_________Card Security Code:________
Mail this form to: Mount Nittany Conservancy
ATTN: MOUNT NITTANY NIGHT
PO Box 334
State College, PA 16804
Space is limited - Order Soon. Order Deadline is September 26, 2011!
The Mount Nittant Conservancy is a 501(c)(3)not-for-profit organization. Contributions made to it are tax-deductible for federal income tax purposes to the
extent allowable by law. The part of your contribution that is deductible for federal income tax purposes is limited to the excess of any money contributed
above the value of the goods or services provided by us. You will receive admission to this event for your contribution. Our good faith estimate of the value of
each admission is $10.
For information, please email Erich May at ErichMay@yahoo.com