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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  


Please complete the form below to purchase tickets for the ninth annual Art With Heart art auction, held on Saturday, February 7, 2009 at Centerstage@Noda.

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
Number of Raffle Tickets ($20 ea)
Payment Method
Credit Card Number (no dashes)
Exp Date
3 Digit Verification Code (back of card)
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