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...
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