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Angel On A Leash Best In Show Benefit
Saturday, Feb. 9, 5-7 p.m., Affinia Hotel

You may fill out this form and submit it - or click here to download the form for offline submission.

First Name:
Last Name:
E-mail address for receipt:

Never any sharing/selling of email addresses
Billing address:
Billing city:
Billing state:
Billing zip:
Phone:
Number of Tickets ($100 per ticket):

Total:
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For other special ticket packages, contact us at (646) 259-3811

Pay by Credit Card   Pay by PayPal
Type of credit card:
Credit card number:
Credit card expiration:
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CVV number:

Or, you can submit this form via email to to admin1@angelonaleash.org, by fax to 646-349-4747, or by mail to the address below. Payment may also be made by check or money order payable to Angel On A Leash.

Angel on A Leash
630 9th Avenue
Suite 1009
New York NY 10036

Please include this form with your payment.

For other special ticket packages, contact us at (646) 259-3811
Thank you for your order. Angel On A Leash is a 501(c)(3) organization.


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