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FUNDRAISER
2013 FUNDRAISER FOR A 3 HOUR SUNSET DINNER CRUISE FOR 40 FRIENDS AND FAMILY
Don't miss out on this great opportunity!
Fill out all information to purchase tickets. A minimum amount of $40 to purchase with credit card. Tickets are $5.00 each or $20.00 for a book of 5.
First Name:
Last Name:
E-mail:
Address:
Apt./Suite:
City:
State:
ZIP/Postal Code:
Phone Number:
Number of Tickets:
Number of Books:
Billing same as shipping:
Name on card:
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Expiration mm/yyyy:
Security Code on back of card:
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