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I /we will attend the April 9, 2011 VIP cocktail reception AND concert: _____ tickets x $195.00/ticket = $_____ I/we will attend the April 9, 2011 concert (ONLY):_____tickets x $35.00/ticket = $____ (Please pick up Concert Only Tickets at WILL CALL)
Payment Options:
Credit Card payments can be made by clicking the links above. Otherwise, checks should be made payable and sent (along with this completed form) to:
The Steven E. Chaykin Fellowship Trust
169 East Flagler St. - Suite 1200 Miami, Florida 33131 Please send the ticket(s) and/or an acknowledgment of my donation to the following address: Donor__________________________________ Street:_________________________________ City, State and Zip__________________________ The Steven E. Chaykin Fellowship Trust, Inc. is a 501(c)(3) not-for-profit corporation. Contributions are
tax deductable to the maximum extent allowed by law.
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