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Ebola Ticket Form
Ebola Ticket Form
Presents
KAN BENEFIT DINNER IN RESPONSE TO THE EBOLA OUTBREAK IN WEST AFRICA
Friday October 17, 2014 Liuna Station 360 James Street North Hamilton
Registration: 6:00pm Dinner 7:00pm Dance to follow
MUSIC, FOOD, SILENT AUCTIONS, CASH BAR, PRIZES and MUCH MORE!
Music Provided By Mr. Productions DJ Services
Tickets
If purchasing a full table, your company/ Organization name will be on the card reserving
your table.
Your Contact information:
Business/ Organization Name:
_____________________________________________________________________________________________
Contact Person/ Name: _______________________________________________________
Address: ____________________________________________________________
City: __________________________Province _________ Postal Code: _________
Phone: ______________________Business Fax: ___________________Email: