Lansing Win - Connxtions Comedy Club

Win Tickets for a friend!

If you fill out all the fields on this page (and we like your penmanship) you could win tickets for your very own "Mr. (or Ms) Grumpy" We will throw a party for your friend at our expense! What a deal!

"Mr/Ms. Grumpy" Info:

* Name of Person:
* Their Email:
Their Mailing Address:
City:
State / ZIP:
* Their Phone #:

Contact Information:

* Your First/Last Name:
* Your Mailing Address:
* City/State/ZIP:
* Your Email:
* Your Phone #:
* Relationship to "Grumpy":

Event Details:

* Preferred Location:
* Celebration Type:
* Surprise Party?	YES NO
Comments:
* Requested Date: *(Based upon Availability)*	,

Security Code (Please enter the code above)