a New York State Certified Hospice | Westhampton Beach, NY | (631) 288-8400 | email info@eeh.org
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9th Annual BOX ART AUCTION TO BENEFIT EAST END HOPICE
[ ] $60 per person [ ] $150 Friend (includes 2 tickets)
[ ] $300 Angel (includes 4 tickets) [ ] $500 Donor (includes 6 tickets)
I/We are unable to attend, but wish to send a fully deductible donation of $
Name
Mailing Address
phone email
No. of tickets Amount Enclosed $
Make check payable to: EAST END HOSPICE
Charge: [ ] Mastercard [ ] Visa [ ] American Express
Account No. Exp. Date CVV
Billing Address
Cardholder's Signature
Please reserve early. Limited seating available. Tickets will be held at the door.
For further information call 631.288.7080 or www.eeh.org
Please note $40 per ticket is non-deductible.