YOUTH EDUCATION LUNCHEONS - RSVP FORM

Youth Education Luncheons

Youth Education Luncheon
YES, I will attend the Youth Education Luncheon in:
 Everett 
Name *

First
Last
Address *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Email *
Home Phone Number *

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Work Phone Number

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Please select all that apply:
 I will attend and have no seating preference 
 Please contact me regarding sponsorship opportunities 
 Please seat me with... (Select Group Leader from your preferred location below.) 
Everett Group Leaders (Optional)

A description of the section goes here.
SORRY, I am unable to attend, please accept my tax deductible contribution to support Village Theatre's Youth Education programs.
 I will mail my contribution to Village Theatre, c/o Jessica Wright, 303 Front Street North, Issaquah, WA 98027 
 Please charge my credit card  
Contribution Amount
Name on Credit Card
Credit Card Type
 Visa 
 Mastercard 
 American Express 
Credit Card Number (xxxx-xxxx-xxxx-xxxx)
Expiration Date (xx/xx)
 My employer will match my contribution. I will call Jessica Wright at (425) 392-1942 x151 with this information.  
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