Palm Springs Historical Society

Event Registration Form

In order for us to best service your request please fill out as much of the following form as possible. You may submit it online or print the form out and fax it to Fax: 760.320.2561 or mail it to the address below. If you prefer you can always contact us by phone Tel: 760.323.8297 or email admin@pshistoricalsociety.org

Registration for Annual "Members Only" Fundraising Dinner- January 26, 2010

Contact Information
Name
ADDRESS
BILLING ADDRESS IF DIFFERENT THAN ABOVE
Contact
 
DINNER CHOICE
QUESTIONS AND COMMENTS
Tickets
Tickets
Payment Method
TYPE
MC

Enter Credit Card Number

Expiration Date

All checks must be drawn in U.S. funds from a U.S. bank. Your order will be approved 5-8 business days after the check has been cleared.

Select total dollar amount for adult tickets

*IMPORTANT: If you do not receive a confirmation email or call by January 23 please contact us at 760.323.8297.

You also have the option of printing out a copy and faxing it to us at 760.320.2561. Or you may want to print out a copy for your records. If you experience any problems submitting this form we apologize for the inconvenience, please contact us contact us by phone Tel: 760.323.8297 or email admin@pshistoricalsociety.org

Thank you for supporting the Palm Springs Historical Society. We look forward to seeing you at the Smoke Tree Ranch Fundraising Dinner.

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Upcoming Event - Fundraising Dinner

Fourth Annual "Members Only"

Date

Tuesday, January 26, 2010

Time

Cocktails 6:00pm
Dinner 7:00pm

Location

Smoke Tree Ranch
1850 Smoke Tree Lane, Palm Springs

Dinner

Choice of beef, chicken or vegetarian

Dress

Wear you dressy western duds if that's your fancy

Ticket Price

Adult - $125.00 per person

Map to Event

Directions to Smoke Tree Ranch »

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This official Palm Springs Historical Society web site is a secured site with current SSL certifications in place. Indicated by the padlock symbol and https:// that appears in your web browser address bar and the site seal above. Your private data is protected so you can have the confidence to make purchases and share confidential information online. All information is kept confidential, we do not sell or distribute your private information. Please read our Privacy Policy for details.

The Palm Springs Historical Society respects the privacy of our online visitors and we are committed to protecting the privacy of the users of our website. When providing any personal information to us, your name and contact information will be used by the Palm Springs Historical Society to send information directly related to our organization. We will never sell or provide your personal information to any companies or other organizations.

If you choose to send us your mailing address information, we may include your address on our mailing lists. Those signing up for the PSHS electronic newsletter may receive monthly information via email regarding Museum events, press releases, and news relating to the Palm Springs Historical Society. We do not sell or share our newsletter email list or mailing list with any other organization.

If your prefer not to receive any correspondence from PSHS you always have the option to opt out at any time. You can reach us by phone, fax, mail or email. Tel: 760.323.8297 Fax: 760.320.2561 Mail: 221 South Palm Canyon Drive, Palm Springs CA 92262 Email: optout@pshistoricalsociety.org