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Intercultural Breakfast Form

February 23, 2012

$   .
   
$
Jubilee Table
$ 1,200.00
  Preferential Seating for 10 guests. Sponsors two additional seats for students & supports CCEJ Youth Human Relations Programming.
$
Celebration Table
$ 750.00
  Preferential Seating for 10 guests. Sponsors two additional seats for students & supports CCEJ Youth Human Relations Programming.
$
Peace Table
$ 500.00
  Preferential Seating for 10 guests. Sponsors an additional seat for a student & supports CCEJ Youth Human Relations Programming.
$
Harmony Table
$ 380.00
  Seating for 10 guests
$ x # Individual
$ 38.00


I would like to make a contribution to CCEJ in honor of Gene Lentzner.


   
Name:
Address:
City:
State:
Zip:
     
       
Telephone:
Email:
 
   
   
Please list the names of your party and specify any dietary needs.
  1. Name: Need:
  2. Name: Need:
  3. Name: Need:
  4. Name: Need:
  5. Name: Need:
  6. Name: Need:
  7. Name: Need:
  8. Name: Need:
  9. Name: Need:
10. Name: Need:
   
  Please bill me for the full amount
  Check has been sent by mail

 
 


 

 

 

444 West Ocean Boulevard, Suite 940, Long Beach, CA 90802
Tel. 562.435.8184
Fax. 562.435.8318
www.cacej.org