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RSVP LSAJL Scholarship Dinner

First name

Last name

Email*

Phone

Name of scholarship recipient (If applicable)

Number of Guests x $45.00

List guests attending

Additional Notes

Tickets are $45 per person. Recipients are complimentary

RSVP by June 4th

Please make check payable to: LSAJL Scholarship

Mail to: LSAJL Scholarship Fund ATTN: Karen Ziton

10000 Ride Line Drive North Royalton, OH. 44133

Or

Pay electronically via PayPal

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