Won From The Heart

Welcome to the DMC GUILD

Won From The Heart

Friday May 4, 2007
Grosse Pointe Yacht Club
Grosse Pointe

*required fields

Reservation Information:

Individual Reservations

x$125 per person($85 tax-deductible)

Total of $

Patron Reservations

x$300 per person($150 tax-deductible)

Total of $

I/We Are Unable to Attend but Make
a Tax-Deductible Contribution

Personal Information:

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Daytime Phone:

Email:

Payment Information:

Total Amount:

$ *

Method of Payment:

Name on Card:

* The same as the above

Credit Card Number:

Exp. Month:

Exp. Year:

CVC:

* (last 3 digits in signature space on back of card)

Reservations will be held at the Grosse Pointe Club.
Please Respond Before May 5, 2006
MICS 11200