Monte Carlo Casino Night
July 9, 2011
The Purcell Home
2307 Harewood Drive - Livermore - CA - 94551
Registration
Instructions:
1)
Complete this form
2) Print it
3) Mail it in
Yes, I plan to attend!
No, I can't attend, but I'd like to show my support.
| Number of Guests | Total | ||
| Please register | guests @ $40 each for Casino Night | ||
| and/or register | guests @ $50 each for Casino Night plus Texas Hold 'em | ||
| I'd like to make a donation in this amount to support your important work | |||
| Grand Total | |||
Please hold this registration at the door in the name of
Please make your check payable to "Elena Macias Foundation."
Elena Macias Foundation • 2307 Harewood Dr. • Livermore CA 94551