HANDS & HEARTS AGAINST HUNGER TABLE

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Table ($1,450 for 10 tickets)

Price:

$500 is tax deductible

Additional Donation Amount

Additional Donation Amount - $50*

Price:

Additional Donation Amount - $100*

Price:

Additional Donation Amount - Other*

Total

Name of Purchaser*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Guest names can be emailed to [email protected] if needed

Guest 1

First Last

Guest 2

First Last

Guest 3

First Last

Guest 4

First Last

Guest 5

First Last

Guest 6

First Last

Guest 7

First Last

Guest 8

First Last

Guest 9

First Last

Guest 10

First Last