SPONSORSHIP AND TICKET FORM

 

Name:  ___________________________________________________________

 

Business:___________________________________________________________

 

Sponsorship level: ____________

 

Name as you would like it to appear on the sponsor board:             ___________________________________________________________

 

If not sponsoring, number of tickets requested ($50 each/two for $75):  ____________

 

Names of those who will be attending (for name tag purposes):   __________________

______________________________________________________________________

______________________________________________________________________

 

Address for mailing tickets (include city, state and zip code):  ______________________________________________________________________

Daytime Telephone Number :    ____________________________________________

 

 

Method of payment (if check, please enclose):        _____________________________

Card type (not AMEX): ___________         Card number: ____________________________

Expiration date:______________ Name on card:  ______________________________

I consent to a charge of $_________________.   (Please indicate dollar value and sign): ______________________________________________________________________

 

The Women's Center of Wake County is a 501(c)(3) organization.  Donations are tax-deductible to amount allowed by law. 

 

Make checks payable to Women’s Center of Wake County.  Indicate “Caffe Luna” in the “for” line in the lower left corner.  Mail to the attention of Jane Tobia, WCWC, 128 E. Hargett Street, Suite 10, Raleigh, North Carolina, 27601. 

For your convenience, tickets may be purchased via PayPal by using the secure payment buttons below.  You may also complete the form above and mail to the Women's Center.  Tickets will be mailed to you. 

To Purchase 1 Ticket:  

To Purchase 2 Tickets:

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