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Homecoming
ELAC Foundation
>
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Homecoming
ELAC Welcome Home Reunion Event 2017
Amount
Si Se Puede! Sponsor: $ 10,000.00
Adelante Baby Boomer Sponsor: $ 5,000.00
Viva La Raza Sponsor: $ 1,000.00
ELAC OG Sponsor: $ 500.00
Program Advertisement (Full Page): $ 250.00
1 Individual Ticket/Regular: $ 50.00
2 Individual Ticket/Regular: $ 100.00
3 Individual Ticket/Regular: $ 150.00
4 Individual Ticket/Regular: $ 200.00
5 Individual Ticket/Regular: $ 250.00
1 Individual Ticket/Student: $ 20.00
2 Individual Ticket/Student: $ 40.00
3 Individual Ticket/Student: $ 60.00
4 Individual Ticket/Student: $ 80.00
5 Individual Ticket/Student: $ 100.00
Additional Information
Corporate
This donation is on behalf of a company
Company Name
Billing Information
Title
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Mr.
Ms.
Mrs.
Dr.
Miss
Master
Prof.
The Honorable
Judge
Rabbi
Reverend
Sister
Father
Brother
Lt.
Capt.
Major
Cmdr.
Col.
Admiral
General
Ambassador
Senator
Governor
Sir
Madam
Sir/Madam
Drs.
First name:
Last name:
Country
---
United States
Canada
United Kingdom
Australia
New Zealand
People's Republic of China
Address lines:
City
State
---
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
CZ
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NL
NH
NJ
NM
NS
NT
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
NU
ZIP:
Phone:
Email:
Payment Information
Payment Method:
Credit Card
Direct Debit
Cardholder's Name:
Credit Card Number:
Card Type:
---
Visa
American Express
Discover
MasterCard
Card Expiration: Month
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01
02
03
04
05
06
07
08
09
10
11
12
Card Expiration: Year
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2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Card Security Code:
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Your ticket for the: Homecoming
Title
Homecoming
USD
