The Link Counseling Center

MIRACLE BALL \| GENERAL DONATION \| BRICK INSCRIPTION \| Have a Ball at the Miracle BOWL! Join us at Ten Pin Alley, an upscale bowling alley in Atlantic Station. Enjoy billiard tables, music, dinner and dancing. Party with a Purpose to raise much needed funds for The Link Counseling Center! Date: October 23, 2010 Time: 7 pm - until Location: Ten Pin Alley in Atlantic Station For more sponsorship information, please contact Kathy Jernigan at 404.256.9797 or kathyj@thelink.org. *Indicates a required field.

	Miracle Ball Tickets
Number of Tickets:	* $150 each

	Sponsor the annual Miracle Ball! (Optional) All sponsorships can be now be charged in full or in installments. If you would like to pay your sponsorship in installments, please call Kathy Jernigan at (404) 256-9797.
Platinum	$10,000+
Gold:	$5,000+
Silver:	$2,000+
Sponsor Name:	(To be listed)

Dollar Amount:	* (# of tickets x $150, or enter Sponsor Amount)
Credit Card Type:	*
Credit Card #:	*
CVN #:	What is my CVN Number?
Expiration Date:	* *

	Billing Address
Your Name:	*
Company:
Address 1:	*
Address 2:
City:	*
State:	*
Zip Code:	*
Phone Number:	(xxx-xxx-xxxx)*
Email Address:	*

	Reservations are held at the door. Please list each guest’s name, address and phone number. Please send additional guest names to svalentine@thelink.org

Guest 1 Name:	*
Address:	*
Phone:	*

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Phone:

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