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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 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.
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Sizzling Hot Pink Saratoga Hat Luncheon
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