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| Latino
Dollars for Scholars
Foundation of Rhode Island |
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| 15th Annual Awards Banquet | |||
| Thursday, January 8, 2009 6pm The Providence Marriott | |||
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Thank you for registering online! Your information has been received electronically.
To Complete Banquet Registration,
Click
here to make a
secure online payment using change.org
or
Print and complete this form and mail
Payments to address below or you can pay at
the door with either cash or check.
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No, I will not be able to attend. Enclosed is my tax-deductible donation of $_______ |
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Yes, I will attend, at the following sponsorship level: |
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| $ 450 Table Sponsor (seats 10) | ||
| $100 Patron Sponsor | ||
| $50 Dinner Guest | ||
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______# of persons attending x $ _____ =$_______ Total Enclosed
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| Name: | . | Organization: | . | |||
| Address: | . | |||||
| City: | . |
State: |
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Zip Code: |
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| Phone: | . |
Email: |
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To Complete Banquet Registration, print and complete this form and mail Payments to:
Latino Dollars for Scholars |