Note: Subtract $5 discount per ticket if payment is received or postmarked by March 1st.

 

 

Central Virginia Iranian American Society

(www.RichmondIranians.com)

 

Norouz Party Ticket Request / Membership Renewal

بلیط جشن نوروز

Please send the completed form and payment to:

CVIAS                                                                                                    Please include your phone number:

12417 Lynwood Drive                                                                                         (- - -) - - -   - - - -

Glen Allen, VA 23059

Phone: 804-360-3947 (West End)  or 804-739-5523 (Midlothian)             

We will mail your tickets as soon as we receive the payment.

Number of Adult Member tickets. One member ticket per member. $35 each  ----------------- ---------------------------ŕ

Please include members’ full names bellow:

 

Number of Adult non-member tickets. $50 per ticket. --------ŕ

 Price includes annual membership of $15 per adult member.  Please fill out the membership form below if you would like to become a member

 

Number of Child tickets 14-17 years old: $35 per ticket:----- --ŕ

 

Number of Child Tickets 5-13 years old: $20 per ticket -------ŕ

 

Total ---------------------------------------------------------------ŕ

 

برای عضویت در انجمن لطفأ فرم زیر را پر فرمائید

New or Renewed Member Information:  Please write legibly

Full Name

 

Mailing Address

 

Phone Number

 

Email Address[1]

 

Member Signature & Date:

 

Membership dues received by (treasurer):

<Sign and Date>

Member information recorded and filed by (secretary):

<Sign and Date>

Membership Cancellation

<Provide reasons and effective date of cancellation>

 

<President: Sign and date>            <Secretary: Sign and Date>

 


1. Email is an effective and inexpensive communication tool. It allows CVIAS to send out timely notifications about the upcoming events and other information. Your email address will not be given out to anyone outside CVIAS.