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efta-efta00591576DOJ Data Set 9OthercliftscrY `PUDDING IITTITUTE OF 1770
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DOJ Data Set 9
Reference
efta-efta00591576
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1
Persons
0
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cliftscrY `PUDDING IITTITUTE OF 1770
Order of the Golden Sphinx Gala
Contribution Card and Benefits
I,
, wish to become:
K Guardian of the Sphinx ($50,000)
Prime Table at the gala honoring Paris Barclay on April 3rd, 2017 at the Diamond Horseshoe
12 tickets to HPT 169: Casino Evil in Cambridge, New York City, or Bermuda
Recognition in our gala program and on our website
K Other Amount:
K A check payable to the Hasty Pudding Institute of 1770 is enclosed. (mailing address below)
K Please bill my:
o Amex
o Visa
o MasterCard
Credit Card Number:
Expiration Date:
Billing Zip Code:
Name of Company (Corporate Cards):
Date
Signature
K I want to be acknowledged as
in the gala program.
Please mail checks to: The Hasty Pudding Institute, 717 Fifth Avenue, Mor Floor, New York NY10022
Or email the contribution card to:[email protected]
EFTA00591576
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