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RSVP LSAJL Scholarship Dinner

June 11th

First name

Last name

Email*

Phone

Name of scholarship recipient (If applicable)

Number of Guests x $50.00

List guests attending

Additional Notes

Tickets are $50 per person. Recipients are complimentary

RSVP by June 4th

Please make check payable to: LSAJL Scholarship

Mail to: LSAJL Scholarship Fund ATTN: Marie Namey

2220 Fenwick Rd University Hts. OH 44118

Or

Pay electronically via PayPal

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