If you prefer to send a check
Please print this page, and fill out the relevant information by hand, and mail this form with your check. TASSC is a 501(c)(3) non-profit charitable organization. The portion of each dinner ticket price above $10 is tax deductible.
First Name ___________________ Last Name _____________________
Address ____________________________________________________
City State Zip__________________________________________
Email ________________________ Phone _____________________
Organization ___________________
April 16th Fundraising Dinner R.S.V.P. and Donation Information:
____ Individual Tickets (at $45 each) Amount: $_______
____ Tables for 8 (at $360 per table) Amount: $_______
____ Sponsor Survivor for dinner (at $45 each) Amount: $_______
____ Additional Donation Amount: $_______
____ I cannot attend but wish to make a donation Amount: $_______
Total Amount $_______
Mail your check, payable to TASSC, to:
TASSC, 4121 Harewood Road, NE, Washington, DC 20017
