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Printable Form Tickets for Trudeau's Legacy in Obama's World December 3rd, 2008 |
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| I would like to purchase __________ tickets at $75 per ticket. |
| Total cost $____________.00 |
| Name: ____________________________________________________________________
Street Address: _____________________________________________________________ City: _____________________________________________________________________ Province: ________________________________ Postal Code: _______________________ Phone number: ______________________________________________________________ Email address: ______________________________________________________________
Enclosed please find a cheque for $______________.00 or bill $________________.00 to my VISA MASTERCARD AMEX Credit Card Number: _________________________________________________________ Expiry Date: _______________________ Name (as it appears on card): __________________________________________________ Signature: _________________________________________________________________ |
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Canadian Landmine Foundation, 1623
Yonge Street, Toronto, Ontario M4T 2A1. A tax receipt will be issued for $55.00 Charitable Number: 866765423 RR0001 |