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RSVP & Sponsor

10 Year Anniversary Dinner & Celebration

RSVP & SPonsor

YOur INformation
First Name		Last Name		Address

City, State, Zip		Email		Phone


Reservations
I accept with pleasure. Please make reservations for people
I would like to reconfirm my previous reservation from November
I can't attend the dinner. My contribution of $ is below
~ Couvert: $180 per person \| $1,800 table of ten ~

Guests Attending
Name of Guest 1		Name of Guest 2		Name of Guest 3


Name of Guest 4		Name of Guest 5		Name of Guest 6


Name of Guest 7		Name of Guest 8		Name of Guest 9


Journal Submission
	1/8 Page $100		1/4 Page $180		Half Page $360 includes one reservation
	Full Page $720 includes 2 reservations		Bronze Page $1,000 includes 2 reservations		Silver Page $1,800 includes 4 reservations
	Gold Page $3600 includes table of ten		Diamond Page $5000 includes table of ten		Founders Page $10,000 includes table of ten
	Chai Page $18,000 includes 2 tables of ten		Pillar's Page $25,000 includes 2 tables of ten

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Payment Info
Cardnumber		Expiration		CVV Code What's This?

Charge Amount		Comments
$

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