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Planned Parenthood Southeastern Pennsylvania’s
The Choice Event
21st Annual Fall Event and Auction

Saturday, November 7th 2009
6:30 – 10:00PM
Philadelphia, PA

Location disclosed only to paid ticket-holders via return e-mail upon registration. For additional information, please call 215-351-5552 or debra.loggia@ppsp.org

EVENT SUBSCRIBER LEVELS

* = Required Fields

Item	Quantity	Price	Description
$1,500 Benefactor (16 guests)			Provides annual exam and birth control for 8 patients $940 is tax deductible

First Name
Last Name
Address
City
State
Zip
Phone
Email
How did you hear about The Choice Event?
Guests’ Names (please separate using a comma)

I will use tickets, please donate the remainder to volunteers and staff who cannot afford the price of a ticket.