126 NW Canal Street  Suite 100  Seattle WA 98107       
Phone 206.325.4109  info@sealang.org
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Seattle Language Academy 2008 Benefit Auction Registration Form


Contact Information
First Name
Middle Initial
Last Name
Address
Address (line 2)
City
State
Zip Code
Email Address
Telephone 1 (Enter in format xxx-xxx-xxxx)
Telephone 2 (Enter in format xxx-xxx-xxxx)

YES! I am delighted to attend SLA's 2008 benefit auction
Individual ($75 per person)
I wish to be seated with:
   
Table of Eight ($600 per table)
Names of guests at table:

Credit Card Information
Name on Card
Billing Address
Billing Address (line 2)
City
State
Zip Code
Credit Card
Credit Card Number
Credit Card Expiration   



   
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