Community Quest | Serving New Jersey

Community Quest, Inc.
Tilton Times Plaza
6814 Tilton Road
EHT, NJ 08234

ITALIANfest
DATE: Thursday, October 16, 2008
TIME: Seating Available from 11:30-1:30
COST: (1) Ticket $20 - Includes Salad/Entree/Dessert/Beverage
(4) Tickets for $65 (Advance Purchase)

* = required field

Cardholder Name*

E-mail*

Card Billing Address*
(Street / PO Box)

City*

State*

Zip*

Yes, count me in to be an event Sponsor:

Please accept my donation amount of: $

Sponsor Name:

Contact Person:

Contact Phone:

Thank you for your generous consideration
and commitment of sponsorship for this event!

TICKETS
Lunch @ $20	Qty
4 Lunch Tickets @ $80 (Advanced Purchase by Oct. 15)	Qty

# of Tickets: Total $

Enter each ticket's preferred time (11:30, 12:30 or 1:30) in comments.

Comments:

I authorize Community Quest, Inc. to charge my credit card

Charge my*

Expiration Date*

Card Number*

CVV*

Cardholder's Name*

Amount to Charge*

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Community Quest, Inc.
Community Housing & Employment Services
Tilton Times Plaza
6814 Tilton Road
Egg Harbor Township, NJ 08234

Contact: Elizabeth Denham
Phone: (609) 646-0388
Fax: (609) 646-5622
Email: communityquest@cqinc.org