3D095FAF E82C 4756 9751 276A804E9E54 DARE Response Card (PDF)




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D.A.R.E. America
Benefit Reception

Matt wanning
Name_ _____________________________________________________________
Company___________________________________________________________
Address_ ___________________________________________________________
City/State/Zip________________________________________________________
Telephone_Day/Evening_ ______________________________________________
33tmwred@gmail.com
Email/Fax___________________________________________________________

Please_charge_my_credit_card_(circle_one):_Amex__Visa__Master
Card_#______________________________________________________________
Exp_Date_________________________________________ CVS_______________
Signature_ __________________________________________________________
__Regretfully,_I/we_cannot_attend_but_will_contribute_$________

Text
__Enclosed_is_my_check_made_out_to_D.A.R.E._America_$_______
Please_Reserve_the_Following:
LEADERSHIP PACKAGES
__Champion_............................ $10,000_includes_ten_tickets
__Hero_.................................... $5,000_includes_six_tickets
__Benefactor_........................... $2,500_includes_three_tickets
__VIP_....................................... $1,000_includes_two_tickets_
__Friend_.................................. $500_includes_one_ticket

D.A.R.E. America
Benefit Reception

My_Guest/s_Include:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

For_Information_contact:
Special_Events_Unlimited,_Inc.
specialevents@specialeventsunlimited.com
212.244.7333
RSVP by November 18, 2015






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