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Winthrop University Hospital

2013 Yuletide Ball

Winthrop-University Hospital
2013 Yuletide Ball
to Benefit The Child Life Program

December 7, 2013
at the Garden City Home of Mr. and Mrs. Richard Volpe

RESERVATION FORM

Kindly Reply by November 25th

Indicate your reservations below and click “Continue.”

For Further Information, Please Contact Shari Prinstein at 516-663-3398.

All But $200 per ticket is Tax – Deductible.


We/I would like to support the 2013 Yuletide Ball with a special underwriting gift of:

$25,000 Noble Fir
- includes ten tickets
 
         $10,000 Balsam Fir
- includes four tickets
$20,000 Grand Fir
- includes eight tickets
 
$5,000 Fraiser Fir
- includes two tickets
$15,000 Silver Fir
- includes six tickets
 
$2,500 Douglas Fir- Underwriter
Enter Quantity here Tickets at $400 per ticket


I am unable to attend, but wish to contribute $


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259 First Street | Mineola NY 11501 | 516-663-0333


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