Tickets will be sold on a first-come, first  serve basis and 

will be mailed upon receipt of payment.

 

For more information, or to buy tickets over the phone, 

contact Jennifer at 412-449-0165

Order through the mail by completing this form and sending with payment

Name:_______________________________________________________________________ 

 

Address:_________________________City:________________State:____  Zip  Code:______ 

 

Phone:____________________Email:_____________________________________________

Qty:             

Sandcastle   ____   x  $18.00                                                            

 

Total  Order  =  ______________

 

Please  make  checks  payable  to  Autism Connection of PA

 

For  Credit  Card  Orders: (please  check)  ____  VISA    ____  MasterCard 

 

Card #____________________________________Exp Date __________3 Digit Code _____     

Name on Card_____________________ Signature_____________________________________