YES! WE WILL BE THERE!

# PERSONS_______X $100   $__________

 

COUNT US IN AS A SPONSOR!

____ TITLE SPONSOR:  16 tickets, signing  $5000

____ NOBEL PRIZE SPONSOR: 12 tickets  $3000

____ PULITZER SPONSOR: 8 tickets  $2000

____ NEWBERY SPONSOR: 4 tickets   $1000

____ CALDECOTT SPONSOR:  2 tickets   $500

NAME:___________________________________

 

NAME:___________________________________

 

email address:____________________________

 

____I'D LIKE TO PRE-BUY ____RAFFLE TICKETS!

                 ($50 EACH  OR FOR $100 for the Pre-Buy                            special vs. event night price of 4/$100)

 

____ Sorry, we can't attend, but please accept our

          donation to support the mission.

AMOUNT ENCLOSED:____________________

   

Payable to "Partners in Outreach"

        Mail to:  P.O. Box 21

                          Chester Springs, PA  19425

 

Guests Names:

1.__________________________________

2.__________________________________

3.__________________________________

4.__________________________________

5.__________________________________

6.__________________________________

7.___________________________________

8.___________________________________

9.___________________________________

10.__________________________________

11.___________________________________

12.___________________________________

13.___________________________________

14.___________________________________

15.___________________________________

16.___________________________________

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