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Ticket Form TestDan Fennell2025-02-22T09:13:22-04:00

Name(Required)

First Last

Email(Required)

Phone

Address

Street Address City State ZIP Code

Names of Additional Guests

Honorary Committee

Names will appear in the program booklet, the website, and the big screen on the day of the event. Thank you!

Changemakers

Couple; $500

Individual: $250

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Trailblazers

Couple: $200

Individual: $100

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Advocates

Couple: $150

Individual: $75

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General Admission Quantity

Price: $60.00

Quantity

I'm not attending but would like to make a donation

$100

$50

$25

Other Amount

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Your Donation Amount

Subtotal

$0.00

I would like to cover the 3% processing fee(Required)

Yes

No

Processing Fee

Price: $0.00

Total

Will you be attending the event?(Required)

Yes

No

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Literacy Volunteers Capital Region

65 First Street
Troy, New York 12180
Phone: 518-244-4650

161 Washington Avenue
(Albany Public Library Main Branch)
Albany, New York 12210

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