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RSVP Form

RSVP Form

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PERSONAL INFORMATION

Last Name*   City*
First Name*   State*
Address*   Zip*
Email*   Phone*
No Charge - However Sponsors Welcome
Number of people*
     
Name 1   Name 5
Name 2   Name 6
Name 3   Name 7
Name 4   Name 8

Larry would enjoy helping & sponsoring our events. Please consider becoming a sponsor with a kind contribution of $360 or $180.
Thank you.

 

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Yes! I would like to make an optional contribution in memory of Larry Sobol
Please charge my:
VISA  MasterCard  American Express   Discover
Card Number:
Exp. Date: mm/yyyy  /  CVV Code  Card Zip code
TOTALS  
 
Total Amount to be Charged: 

 

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