Name (as it appears on your credit card):
Billing Address:
Billing Address Line 2:
City:
State:
Zip:
Country:
No tickets will be mailed for this event. Guests simply will give their names at the door. Tickets must be purchased by April 13, 2012. The fair market value for each ticket is $65. Please consult your tax advisor about tax deductibility. Refunds will be available until April 13, 2012. Ticket includes hors d'oeuvres, full bar and dinner. Questions? Contact Coco Minardi at 215.753.3692 or minardin@chc.edu.