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EVENT REGISTRATION
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*Multiple opportunities are available at each sponsorship level. The fair market value of each ticket is $200. Your contribution in excess of that amount is tax deductible as allowable by law.

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Please e-mail dmartin@smilefarms.org with guest name(s) by Tuesday, April 2nd.
CONTACT INFORMATION
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First Name
Last Name

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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Please Note: Photos will be taken throughout the night and some photographs will be used for public relations, marketing or promotional purposes. Please let someone on the Smile Farms staff know during or prior to the event if you do not wish to have your picture made public.