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SPONSORSHIP OPPORTUNITIES:

	$18,000 - Royal Flush Sponsor - One Year Scholarship at Shalva's Jerusalem Center Receive 12 guest tickets. Logo on Step & Repeat at the event entrance and signage at the event.
	$10,000 - Gold Chip Sponsor - One Year Scholarship at Gush Etzion Center Receive 10 guest tickets. Logo on Final Table felt and signage at the event.
	$5,000 - Blue Chip Sponsor - One Year Me & My Mommy Scholarsip Receive 8 guest tickets. Logo on poker Table felt and signage at the event.
	$3,600 - Full House Sponsor - One Year of Music & Art Therapy Receive 6 guest tickets. Signage at the event
	$1,800 - Classic Sponsor - One Year of Overnight Respite Care Receive 4 guest tickets. Signage at the event
	$1,000 - Pocket Ace Sponsor - Summer Camp Scholarship Receive 3 guest tickets.
	$500 - Hold 'Em Sponsor - One Year of Hydrotherapy Receive 2 guest tickets.

PLAYER REGISTRATION:

$1,800 per person, for players.
Register one player, receive 2 guest tickets

GUEST REGISTRATION:

$180 per person tickets.

ADDITIONAL DONATIONS:

	I would like to make an additional donation in the amount of $

BILLING INFORMATION:

*Name

*Address

*City

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*Country

Zipcode

*Daytime Phone

Evening Phone

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PAYMENT INFORMATION:

Total Amount

*Credit Card Type

*Credit Card Number

*Verification Code

(This is the 3 or 4 digit number printed on the back
signature panel. It is on the front of the card for AMEX)

*Cardholder's First Name

*Cardholder's Last Name

*Expiration

Your tax deductible contribution to Shalva's 2012 Campaign (over and above the $80 cost per person for attending this event) enables us to provide service to our special needs children and their families.
By registering to attend, you are hereby permiting 'American Friends of SHALVA' to use any photographs from the 'SHALVA Full House 2012' event, for any lawful purposes.