Offline Registration Form | Child Advocates CT

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and mail it and your payment By May 1st to:

Child Advocates of SW CT

55 Greens Farms Rd, Suite 200-6

Westport, CT 06880

Enter Quantity and Ticket/Table Type:

Patron Ticket ($200 each)

Sponsor Ticket ($300 each)

Patron Table for 10 ($2,000)

Patron Table for 12 ($2,400)

Sponsor Table for 10 ($3,000)

Sponsor Table for 12 ($3,600)

Benefactor Table for 10 or 12 ($5,000)

Underwriter Table for 10 or 12 ($10,000)

I'm unable to attend but would like to donate: $________

$___________ TOTAL PAYMENT

mail form & payment to:

Child Advocates of SW CT

55 Greens Farms Rd, Suite 200-6

Westport, CT 06880

Thank you for supporting

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