Art With Heart Ticket Form

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Services

Domestic Violence

United Family Services
601 East Fifth Street, Suite 400
Charlotte NC 28202
Phone: 704.332.9034
Fax: 704.373.1604 info@ufsclt.org


Art With Heart Ticket Form

We have reached maximum capacity for the the 8th annual Art With Heart Auction and tickets are now sold out!

Visit us online at www.artwithheartauction.com for more information about our event or call (704) 367-2708. Proceeds from this auction benefit United Family Services' Domestic Violence Programs.

Number of Bid Paddles (one per couple)

Title

Dr.

Mr.

Mrs.

Ms.

First Name

Middle Name

Last Name

Spouse Name

Address Type

Company/Organization Name

Address Line

Suite/Apt

City

State

Zip

Phone Number

Email Address

Guest Name(s)

Admission Type

Number of Tickets ($50 in advance/$60 at the door)

Payment Method

Credit Card Number (no dashes)

Exp Date

3 Digit Verification Code (back of card)