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____40th Anniversary Gala tickets @$40 each           Subtotal: $________

____Donation                                                             Subtotal: $ ________          


Receive a 40th Anniversary commemorative t-shirt for each $20 donation

________S        
________M        
________L        
________XL        
________2XL        
________3XL
 
                 
                                                                                                                                                                                                                                  Subtotal:
$__________


                                 

                                                         Total:       $__________        


                                                 



If you would like to be an individual or business sponsor and be included in the commemorative
brochure,
upload your artwork jpg here.