Please Make Your Reservations Today
METHODS OF PAYMENT:
□ CHECK made payable to: Ballona Network
Mail to: Ballona Network, 11934 W. Washington Blvd. #201, Los Angeles, CA 90066.
□ CHARGE:
□ M/C
□ VISA
□ AMEX
Acct # ________________________ Exp. Date ______
Name on Card ________________________ Billing Address ___________________________
All contributions are tax-deductible.
(Ballona Network is a 501c3 Non-Profit Corporation)
□ CALL Jeanette at 310-721-3512 to make a phone reservation.
Name ________________________________ Organization (optional) ________________________
Address ________________________________ City __________________ State ____ Zip _______
Phone (day) ________________ Phone (cell) ________________ Email ______________________
Auction / Dinner Tickets _____ @ $45 per person $________
Contribution $________
Raffle (tickets will be held at door) ____ @ 5 tickets for $25 $________
Total $________________
All proceeds will be used to further the mission of the Ballona Network.
For more information or reservations call Jeanette Vosburg at 310-721-3512.
