raffle prize donation form

 TICKET ORDER FORM
SISTER CITIES OF LOS ANGELES, INC. 2011 FUNDRAISING PARTY
A Celebration of Los Angeles in the ‘60s
Featuring a Salute to The Beach Boys
THURSDAY, JUNE 9, 2011 5:30pm-10pm THE GILMORE ADOBE AT FARMERS MARKET, LOS ANGELES
All tickets will be held at will-call at the Gilmore Adobe Check-In Tables
Individual Tickets @ $60 each
Total
$
Blocks of 10 Tickets @ $500 each
Total
$
Print the Names of your Guest(s) Below:
 My enclosed check is payable to SISTER CITIES OF LOS ANGELES, INC. (501c3 Federal Tax ID 95-4349027)
Please charge my  MasterCard  Visa
Card #
Expiration Date
First Name
Last Name
Street Address
City
State
Telephone (home)
(business)
Zip Code
E-mail address
CREDIT CARD ORDERS: Please FAX completed form to 213-624-7810 or mail to address below.
ORDERS PAID BY CHECK: Please mail completed order form and check to:
SISTER CITIES OF LOS ANGELES, INC.
c/o Tom LaBonge, Councilmember 4 th District
200 N. Spring Street, Room 480, Los Angeles, CA 90012
You will receive a confirmation of your ticket order by phone or email.
Questions?
Contact Kamilla Blanche at (213) 978-0638 or email Kamilla.Blanche@lacity.org
Sponsorship Opportunities
Applications are available online at www.SisterCitiesofLA.com
Or email Annet Peairs, Roland Communications at apeairs@RolandCommunications.com
RAFFLE PRIZE DONATION FORM
SISTER CITIES OF LOS ANGELES, INC. 2011 FUNDRAISING PARTY
A Celebration of Los Angeles in the ‘60s
Featuring a Salute to The Beach Boys
Thursday, June 9, 2011 5:30pm-10pm
The Gilmore Adobe At Farmers Market, Los Angeles
 YES, I want to donate a Raffle Prize to the Sister Cities of Los Angeles 2011 Fundraising Party featuring a salute to
The Beach Boys on Thursday, June 9, 2011. My Prize is described below.
 NO, I cannot donate a Raffle Prize but please accept a tax-deductible donation
(Payable to Sister Cities Los Angeles, Inc.) $
Description Of Raffle Prize
Value (approximate) $
Sister Cities of Los Angeles (501c3 Federal Tax ID 95-4349027)
Name Of Donor
Contact Person
Street Address
City
Phone
State
Fax
Zip
E-Mail
Is your Raffle Prize a “tangible prize” or a certificate ?
How will your actual gift/certificate be submitted?
 I will mail or deliver the Raffle Prize/Certificate before June 1 to:
Sister Cities of Los Angeles, Inc. 200 N. Spring Street, Room 480, Los Angeles, CA 90012
 Please create a certificate from the text I submitted.
 Please contact me to pick up the gift.
Please Fax Completed Form to 818-763-2113
Questions?
Please contact Kamilla Blanche at 213-978-0638 or email her at Kamilla.Blanche@lacity.org
The Office of Councilmember Tom LaBonge, 4th District
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