heart ball 2011 rsvp card

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R.S.V.P. R. S. V. P.

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RSVP Card for 2011 American Heart Association Heart Ball

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Page 1: Heart Ball 2011 RSVP Card

R.S.V.P.R. S. V. P.

Page 2: Heart Ball 2011 RSVP Card

l Most Honorable Heart ($100,000 and above–table of 10)

l Honorable Heart ($75,000 and above–table of 10)

l Royal Heart ($50,000 and above–table of 10)

l Majestic Heart ($35,000 and above–table of 10)

l Noble Heart ($25,000 and above–table of 10)

l Regal Heart ($15,000 and above–table of 10)

l Ambassador of Heart ($10,000 and above–table of 10)

l Ace of Heart ($10,000–2 individuals)

l King of Heart ($5,000 and above–2 individuals)

l Queen of Heart ($3,000 and above–2 individuals)

l Jack of Heart ($1,500 and above–2 individuals)

Your contribution in excess of $165 per seat is tax-deductible.

Number of seats desired _____________________________________________________________________________________________________

I wish to pay by: l Visa l MasterCard l AMEX l Discover l Enclosed Check

Name as it appears on card __________________________________________________________________________________________________

Credit Card # ________________________________________________________________________________Expires _________________________

Signature _________________________________________________________________________________SEC Code ________________________

Check enclosed $ _____________________________________________________________________________________________________________

(Checks are payable to American Heart Association).

My regrets are expressed with a donation of $ ____________________________________________________________________________

If you would like further information or an invitation sent to your guests, please contact

Kelly Grose, (602) 414-5357 or [email protected] and we will gladly accommodate your request.

The favor of a reply is requested by Monday, October 31, 2011

P lease select from the follo wing level s of giving:

Page 3: Heart Ball 2011 RSVP Card

Please print your name as you wish it to appear in the Heart Ball Program.

l Mr. & Mrs l Dr. & Mrs l Mr. & Dr. l Dr. & Dr. l Mr. l Mrs. l Ms.

Name____________________________________________________________________________________________________________________________

Address_________________________________________________________________________________________________________________________

City_________________________________________________________________State __________ Zip Code__________________________________

Contact Name __________________________________________________________________________________________________________________

Contact Phone Number __________________________________________ E-mail Address:___________________________________________

I am a guest at a table hosted by: __________________________________________________________________________________________

Please list any special meal requirements:__________________________________________________________________________________

To be listed in the Heart Ball Program, please respond by Friday, October 14, 2011

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I wish to be seated with:

Page 4: Heart Ball 2011 RSVP Card