Chaya's 10th Anniversary Dinner RSVP

Please RSVP by May 17th, 2006

  Yes, I/we would like to attend Chaya's 10th Anniversary Dinner & Auction at the Hilton Seattle on June 17, 2006.

Name:
Address:
City:
State:   Zip/Postal Code:
Telephone:
Email:
 
Number of Reservations @ $90 each          TOTAL $
 
Please select meal option(s) for you and your party:
chicken    fish    vegetarian    vegan
 
Payment Method: Check (enclosed)  Visa  Mastercard
* Please make checks payable to Chaya.
 
Name as it appears on credit card:
Card Number:
Expiration Date:   /    /  
Signature:
 
Name(s) of additional guests whose seats are being reserved at this time:
 
Please seat us at 's table
 
  No, I/we will not be able to attend.
Please accept my donation in the amount of $
Please print and mail reply card to Chaya, P.O. Box 22291, Seattle, WA 98122
For additional information please contact the Chaya office at 206-568-7576.
Donations are tax deductible to the extent allowed by law. Chaya's federal tax ID number is 91-133 8554.
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