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COPLEY FAMILY YMCA

29TH ANNUAL CIVIC TRIBUTE CELEBRATION

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29th Annual Civic Tribute Celebration

Honoring Lori and Bill Walton

Personal Information

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Sponsorship

Yes, I'd like to sponsor this event:

Diamond Sponsor $15,000 (30 Admissions)
Platinum Sponsor $10,000 (20 Admissions)
Gold Sponsor $5,000 (10 Admissions)
Silver Sponsor $3,000 (10 Admissions)
Bronze Sponsor $1,800 (10 Admissions)
None

I cannot attend, but would like to make a contribution to support the YMCA (fully tax deductible):

DONATION ONLY: $

Single Ticket(s)

Yes, I'd like to purchase single ticket(s) for this event:

QTY: at $180 each

Guests Attending / Additional Comments:

**NOTE: If you have not specified above, please email Model Hong (mhong@ymca.org)
with the names of your guests by November 2, 2011

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Copley Family YMCA is dedicated to improving the quality of human life and to helping all people realize their fullest potential as children of God through development of the spirit, mind and body.

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