Total DUE $ ____________ ____

*___ Sponsorship Options: Divide Sponsorship by 6 & Bill me monthly over the next 6 months

*___ Sponsorship/Corporate Options: Divide Sponsorship/Corporate Table by 3 & Bill me monthly over next 3 months

______ Invoice Me ______ Check ______ Credit Card (Changes will be process through Network for Good, additional 4.7% also tax-deductible, will be added to the charge)

Print Corporate Name
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Print Email
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Print Contact ________________________________________________________

Print Billing Address ______________________________________________________ City/State/Zip _____________________________________________________

Billing Phone _____________________________
Credit Card #_____________________________________________
EXP Date __________
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Name as appears on CC ______________________________________________________

Barry Manilow’s Lyrics ‘Copacabana’ Her name was Lola, she was a showgirl, with yellow feathers in her hair and a dress cut down to there. She would merengue and do the cha-cha.
And while she tried to be a star, Tony always tended bar across a crowded floor, they worked from 8 till 4. They were young and they had each other who could ask for more? At the Copa, Copacabana, The hottest spot north of Havana. At the Copa, Copacabana, music and passion wer

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Kids Beating Cancer,
615 E Princeton St, Suite 400,
Orlando, FL   32803 FAX (407) 894-7689                                        
For more information call: (407) 894-2888 or www.kidsbeatingcancer.com