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Account Number Exp. Date Name on Card Security Code o I/We would like to be an Underwriter at $5,000 (or more) $_______ (includes a table of ten, and acknowledgement from podium) o I/We would like to be a Benefactor at $2,500 (includes a table of ten) o I/We would like to purchase _______ ticket(s) at the following level: o $1,000 Tiara o $500 Fascinator o $250 Beret o $150 Pink Ribbon Hat Underwriters, Benefactors and Tiara level supporters are invited to a Special Meet and Greet with the Honorary Chairmen, Dr. Larry Norton, Jeannine Edwards and Myra Biblowit, BCRF President, at the Carousel Restaurant at 11:00 am just prior to the Luncheon. o I/We cannot attend the Sizzling Hot Pink Saratoga Hat Luncheon, but would like to make a tax-deductible contribution of $________ o Enclosed please find a check for $________ o Please charge $________ to my: o Amex o Visa o Mastercard o Discover Please respond prior to August 10 if you wish to be listed in the program. Please make checks payable to: The Breast Cancer Research Foundation Please mail the completed form or fax to 646-497-0890. For additional information, please call 718-659-2262 or email [email protected]. The Breast Cancer Research Foundation is a 501(c)(3) organization. Your contribution is tax deductible, less $50 per ticket for those who attend. Please turn over Name / Company (Please print as you wish to be listed in the program) Address City State Zip Phone Fax E-mail Sizzling Hot Pink Saratoga Hat Luncheon

Sizzling Hot Pink Saratoga Hat Luncheon · o I/We cannot attend the Sizzling Hot Pink Saratoga Hat Luncheon, but would like to make a tax-deductible contribution of $_____ o Enclosed

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Page 1: Sizzling Hot Pink Saratoga Hat Luncheon · o I/We cannot attend the Sizzling Hot Pink Saratoga Hat Luncheon, but would like to make a tax-deductible contribution of $_____ o Enclosed

Account Number Exp. Date

Name on Card Security Code

o I/We would like to be an Underwriter at $5,000 (or more) $_______ (includes a table of ten, and acknowledgement from podium)

o I/We would like to be a Benefactor at $2,500 (includes a table of ten) o I/We would like to purchase _______ ticket(s) at the following level:

o $1,000 Tiara o $500 Fascinator o $250 Beret o $150 Pink Ribbon Hat

Underwriters, Benefactors and Tiara level supporters are invited to a Special Meet and Greet with the Honorary Chairmen, Dr. Larry Norton, Jeannine Edwards and Myra Biblowit, BCRF President, at the Carousel Restaurant at 11:00 am just prior to the Luncheon.

o I/We cannot attend the Sizzling Hot Pink Saratoga Hat Luncheon, but would like to make a tax-deductible contribution of $________

o Enclosed please find a check for $________

o Please charge $________ to my:

o Amex o Visa o Mastercard o Discover

Please respond prior to August 10 if you wish to be listed in the program.Please make checks payable to:

The Breast Cancer Research FoundationPlease mail the completed form or fax to 646-497-0890.

For additional information, please call 718-659-2262 or email [email protected].

The Breast Cancer Research Foundation is a 501(c)(3) organization. Your contribution is tax deductible, less $50 per ticket for those who attend.

Please turn over

Name / Company (Please print as you wish to be listed in the program)

Address

City State Zip

Phone Fax E-mail

Sizzling Hot Pink Saratoga Hat Luncheon

Page 2: Sizzling Hot Pink Saratoga Hat Luncheon · o I/We cannot attend the Sizzling Hot Pink Saratoga Hat Luncheon, but would like to make a tax-deductible contribution of $_____ o Enclosed

My guest(s) will be… My guest(s) will be… Please seat me with… Please seat me with…

Sizzling Hot Pink Saratoga Hat Luncheon

Pink Luncheon