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        Quantity    
    Platinum  Underwriter Table $25,000 $
    Gold  Underwriter Table

$10,000

 $
    Bronze Underwriter Table $5,000 $
    Silver  Underwriter Table $3,500 $
    Table Host 2,500 $
    Individual Ticket(s) $250 each $
             
 

I'm sorry I will not be able to attend, but I would like to make a donation to AMIGOS

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      Total   $
             
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Please provide names and contact information for those who will accompany you to the Gala:
   

   
 

If you would prefer not to submit your credit card number online, please click here for printable form you can mail in with your check.
   
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If you are having problems with this form, please contact jfuller@amigoslink.org
 

For more information about the AMIGOS  Gala,  please contact
 Gala Coordinator  Cara Pauloski  at 832-814-6555 or amigos@andrisinabbey.com