I WISH TO SUPPORT VICTORIA ANGEL DEADLINE: SEPTEMBER 11, 2015
Event Sponsor $15,000 Photobooth Sponsor $5,000
Martini Bar & Food Sponsor $10,000 Silent & Live Auction Sponsor $5,000
Poker & Blackjack Sponsor $10,000 Roulette & Craps Sponsor $5,000
Valet & Entrance Sponsor $7,500 Diamonds (Are Forever) Sponsor $3,500
Raffle Sponsor $7,500 Gold(Finger) Sponsor $2500
Entertainment Sponsor $5,000 Individual Tickets # of tickets x $500 =
Name: Email:
Address: City:
Province: Postal Code:
Phone Day: Phone Evening:
VICTORIA ANGEL REGISTRY OF HOPE REG CHARITY # 84008 0279 RR0001

PAYMENT METHOD:

Cheque (payable to Victoria Angel Registry of Hope)

Please charge my single donation in the amount of $ to my credit card.

Please process credit card charges to the credit card indicated below,

in the amount of $

I authorize credit card payment on the following card: VISA MASTERCARD AMEX

Card number: Expiration Date:

Name on card:

Signature of card holder

Please do not email credit card information
Victoria Angel’s Privacy Policy at www.victoriaangel.org

MAIL: Victoria Angel Registry of Hope, 379 Church Street, Suite 402, Markham, ON L6B 0T1 FAX: 905.472.2185 PHONE: 905.201.3398 PAYMENT ONLINE: credit card or paypal, victoriaangel.org