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Event Information
Community of Conscience Breakfast - May 14, 2014 
Number of Breakfast Tickets*($75 each)
Purchase a Table for Ten ($750)
Place an Ad in the  Program Book 
Sponsor the Breakfast 
Down and Derby! - May 3, 2014 
Number of Down and Derby Tickets* ($15 each pre-paid, $20 at the door)
If you are buying multiple tickets, please note they will all be held under your name at the door.
Contact Information
First Name* 
Last Name* 
Email Address* 
Phone  Number* 

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Billing Information
Address 1* 
Address 2 
Zip Code* 
Type of Card* 
Card number* 
Security Code* 
Expiration date* 

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