Jingle Bell Ball Tickets

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AWH Ticket Purchase Form

United Family Services
601 East Fifth Street, Suite 400
Charlotte NC 28202
Phone: 704.332.9034
Fax: 704.373.1604 info@ufsclt.org


Jingle Bell Ball Tickets

Please complete the information below to purchase tickets for the Jingle Bell Ball. For more information on this event, visit the Jingle Bell Ball website.

Title

Dr.

Mr.

Ms.

Mrs.

First Name

Last Name

Address Type

Company/Organization Name

Address

Suite/Apt

City

State

Zip

Phone Number

Email Address

Guest Name(s)

Number of Tickets ($45 before 12/5/08)

Payment Method

Credit Card Number (no dashes)

Expiration Date

3 Digit Verification Code (back of card)

To help us avoid computer generated inquiries and spam, please enter the letters and numbers exactly as you see them in the box below.

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