Event Tickets & Advertising Form

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Stephen Camello Music Scholarship Foundation©
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Up Mailing List Event Tickets & Advertising Form

Please provide the following contact information:

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
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Select any of the following options that apply:

I'd like to reserve my tickets now: (Donation of 20.00 each)
I'd like to buy advertising space for this event: (Adv is 25.00 per square)

Please send check or money order ASAP to: We are now on official nonprofit organization so your contribution is tax deductible. Our address is SCMSF c/o Brian Maes PO BOX 538 Lynn, MA. 01903.

Copyright © 2011[Stephen Camello Music Scholarship Fund]. All rights reserved.
Revised: 03/08/11

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