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Betting on a Cure Casino Night

October 27, 2018  7:00 pm
Capital City Club, Brookhaven

Click here to register online and pay by credit card or
complete the form below to pay by check.

INDIVIDUAL TICKETS
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DONATIONS
$
SPONSORSHIPS
I would like to register for the following sponsorship level:
Name *
Name
Address *
Address
Phone *
Phone

COMPLETE FORM ABOVE THEN SEND US A CHECK

Checks should be made payable to The Eric R. Beverly Family Foundation.

Must be postmarked by October 10.


Mail to:
Juliann Kaiser
The Eric R. Beverly Family Foundation
850 Doe Hill Lane
Roswell, GA 30075

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