Reservations

YES! YOU CAN COUNT ON ME!

Reservations are $90 per person
I will attend, please make reservations for me, and I would like to bring guests.
I am unable to attend - but I am happy to help the children with a contribution of $

Sponsorship Opportunities

YES! I WANT TO BRIGHTEN THE LIFE OF A CHILD!
Each Sponsorship Includes 2 Reservations.
$1,800
Therapeutic Communication Devices
$1,000
Therapeutic Sports Equipment
$540
Musical Instruments
$360
Art & Therapy Supplies
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Contact Info
First Name:*

Last Name:*
Company:
Address:*
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Phone:* Fax:
Email: Solicited By:

Guest List
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Payment
Total: $0.00
Please choose one of the following:
Please charge my credit card I will send in a check Please send me a bill
Total : If the box to the left is empty, there was an error.
Please manually enter the total into the box.
Card Type:
Card Number:
Expiration:
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 3 or 4 digits
Is the address entered in "Contact Info" your billing address? Yes No
Billing Address:
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Please mail your check to:
Friendship Circle
10 Microlab Road, Livingston, NJ 07039
We will send a bill to the address entered above.
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