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2011 Holiday Special

Tuesday, Dec 6

Hotel ZaZa

5701 Main Street

Phantom Ballroom

Community Awards

Be There!

MDBA 2011 Holiday Luncheon & Awards Program

Tuesday, December 6th, 11:00 AM, Hotel ZaZa

1. Choose your level of support *

      $3000 Benefactor (table for 8)   $1250 Underwriter (table for 8)   $750 Sponsor (table for 8)
      $75 Individual     Contributor (unable to attend) * Support level descriptions

2. Host Identification

First Name: Last Name:
Company: Email:
Address: Phone:
City: Zip:

3. Verify

4.   

Thanks for Your Support!

When you submit this application a link to PayPal is provided, so you can pay for your reservation.

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