Ticket Order Form - 2nd Annual Benefit Dinner and Concert

Printand send completed form to the address to the left.

"Harlem Renaissance: An Uptown Social & Jam Session

Celebrating James P. Johnson's 110th Birthday"

Date: February 21, 2004

Time: Dinner and Concert: 7:00 PM - 12:00 PM;
VIP Reception: Starts at 6:00 PM

Where*: Ralph Brennan's Jazz Kitchen, Downtown Disney District at the Disneyland Resort
* 1590 South Disneyland Drive, Anaheim, CA 92802

Price: $75.00 VIP Reception, Dinner and Concert
$50.00 Concert and Dinner

Performers: Bob Pinsker, J. Michael O'Neal, Pat Aranda. Also Featuring Gavlin & Dakota Welch and the James P. Johnson Youth Jazz Band…

More to be announced, be sure to check back to our Website for more details and an updated list of performers.

Activities: Silent Auction and Raffles

Opportunities: Sponsorship, Membership

Tickets on Sale Now! E-mail us, or contact April Pierce at (909) 966-2237

Confirmations will be sent via regular mail and E-mail

Name(s): Guest 1:

Additional Guests:

Contact Method Prefered:

E-mail:

Phone No.:

NO. OF VIP TICKETS:

NO. REGULAR TICKETS:

Payment Method:

Please make checks payable to: James P. Johnson Foundation
Credit Cards: Visa and Master Card only. Please call if choosing this payment method.