209 Abizen ofthe tl*,Rnard?,ecipionts

THE DUTRA FAMILY

?' 'i,, l!r'itr Gold Palm Sponsor ($5,000)

. Logo on all printed material

. Program Listing

. Recognition Award

. Full Page Color Ad

. Two Tables of 10

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KENNETH LEE PERRY'rteeilent, franort califan ia gtahe

The Church ofJesus Christof Latter-day Saints

Silver Palm Sponsor ($2,500)o Program Listing. Recognition Award. Full Page Color Ad. One Table of 10

Bronze Palm Sponsor ($t,500)o Program Listing. Recognition Award, 1fi page Black and White Ad. One Table of 10

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ALAN OLSENfianaging'Partnet

Greenstein, Rogoff,Olsen & Co. CPA's

tr Golden Eagle Sponsor ($1,000)r Program Listing. Five seats

n lndividual Seat ($125)

RSVP BY NOVEMBER 25, 2O1S

BOY SCOUTS OF AMERICA5,,\N Fi\ANCISL.O 11,\Y ,\l\l:A CtJi.INCIL

Total $I cannot attend but would like to make a fully tax-deductible donation of $

Name:

Title/Company:

Address:

City/State/Zip:

Phone: Email:

U Bill me at the address aboveTax lD #: 94-1568616

U Charge my Visa/MasterCard/Amex Exp.

register online: www.sfbac.org/M PFOSLB

Please fax this form in to (510) 577-9A02 and/or mail to 1001 Davis Street, San Leandro , CA94577(Make check payable to Boy Scouts of America)

For additional information contact: MICHAEL CHARLESWORTH at (510) 577-9238. please email form to: Michael.Charlesworth@scouting.org