Chai with Chaya RSVP

Please RSVP by October 27th, 2006
By mail: Chaya, P.O. Box 22291, Seattle, WA 98122
By email (credit card payments only): chaya@chayaseattle.org

  Yes, I/we would like to attend the Chai with Chaya Brunch at the Flying Fish on November 11, 2006.

Name:
Address:
City:
State:   Zip/Postal Code:
Telephone:
Email:
 
Number of Reservations @ $40 each          TOTAL $
 
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:
 
  No, I/we will not be able to attend.
Please accept my donation in the amount of $
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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