Pacific Coast Shellfish Growers Association

Shellfish SLURP! & Fish Tale Brewery Bash

Online Ticket Order Form

Ticket price is $45.00 per person in advance and $55.00 at the door.
Allow one week for tickets to be mailed to you. Tickets purchased online within one week of SLURP will be held for you at the door.

(Fields marked * are required.)

*First Name:

*Last Name:

Company or Organization:

*Street Address:

(Tickets will be mailed to this address)

*City:

*State/Province:

*Zip/Postal Code:

Country:

*Telephone:

*E-mail:

	Price Each	*Quantity	*Total $
Tickets	$45	x

*Pay by:	Visa/Master Card online.
	Visa/Master Card by Phone (Call (360) 754-2744)
	Check by mail

Please make checks payable to PCSGA and mail to:

The Pacific Coast Shellfish Growers Association
120 State Ave NE PMB# 142
Olympia, WA 98501

To pay by telephone, call (360) 754-2744 between 8 AM and 5 PM Pacific time.

Tickets will not be sent until payment
has been recieved by PCSGA.

(Submit button must be clicked once to submit completed form, then wait for confirmation page. If you have problems with this form, please email conniesmith@pcsga.org.)