| HONOREE receives: | -
Honor They Father Certificate - Gift Bag - Listing in program book |
|
| FAMILY REGISTRATION |
|
|
To Register - Call 323 281- 0766
Name ________________________________________________
Address ______________________________________________
City ___________________ State________ZipCode__________
Telephone___________________ Fax ____________________
Email _______________________
Honoree's Name __________________________ Age ______
Name ________________________________________________
Address ______________________________________________
City ___________________ State________ZipCode__________
Telephone___________________ Fax ____________________
Email _______________________
Honoree's Name __________________________ Age ______
Address
______________________________________________
City ___________________ State________ZipCode__________
Telephone___________________ Fax ____________________
Email _______________________
INFO: 323
281- 0766
|
I
would like to participate as follows:
Individual Ticket(s) @ $75.00 Full Page Ad: $100.00 1/2 Page Ad: $50.00 Total $____________ |
Make
Check Payable to
Estelle for Humanity Mail to: P.O. Box 47621 Los Angeles, CA 90047 Call for deadline to send personal check |
A letter why you think this person should be recognized at the dinner.