Power of Choice Benefit Committee

Submitted by admin on Thu, 03/24/2011 - 20:01

POWER OF CHOICE

BENEFIT COMMITTEE REPLY FORM

May 31, 2012
House of Blues
5:30pm-8:00pm

Yes, I want to be on the Benefit Committee for the Power of Choice Event. Please send me the number of blank note cards I have indicated below. I will return these cards with my personal note and the list of the names and complete mailing addresses to whom these cards should be sent. I understand that as a thank you for this participation on the Benefit Committee, my name will appear on the Invitation.

Cards: *

Please indicate the number of note cards you would like to be sent to you:

Display Name: *

Please indicate exactly how you would like your name to appear on the Benefit Committee listing on the invitation:

Name: *

Address Line 1: *

Address Line 2:

City: *

State: *

Postal Code: *

Phone:

E-mail: *

Search

Main menu

Power of Choice Benefit Committee

POWER OF CHOICE

BENEFIT COMMITTEE REPLY FORM