Please Print, Complete & E-Mail, Fax and/or Mail to:
________________________________________________________________________________________________________
FELIPE AGREDANO
I/we will be happy to support Felipe Agredano:
___ I will give/raise $1,000 ___ I will give/raise $500 ___ I will give/raise $250
___ $500-HOST ___ $250–SPONSOR ___ $100-SUPPORTER ___ $50 FRIEND
Note: As a host or sponsor please list as: _____________________________________
___ I/we will attend. Please reserve #___ tickets
Code: _____________
___ I/we cannot attend, but will contribute $_________.
Please send and make checks payable to:Friends of Felipe Agredano
c/o David Gould
555 S. Flower, Ste. 4210
Los Angeles, CA 90071
For more information, please contact: David Gould or FAX BACK:
P: 213.489.4792 / F: 213.489.4818 E: dlgould@davidgouldcompany.com
Please provide the following information:Name __________________________________________________________________________
Address_________________________________________________________________________
City/State/Zip ___________________________________________________________________
Business Phone_________________________Business Fax _____________________________
Home Phone ___________________________Home Fax ________________________________
Occupation ____________________________Employer _________________________________
E-mail__________________________________________________________________________
Credit Card option: __Visa __ Mastercard
Credit Card #: ________________________________________________ Expires:____________
Signature:__________________________________________________Amount:______________
Computer generated. Labor donated. Contributions are NonTax Deductible.
Authorized & Paid for by Friends of FelipeAgredano #1279449