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OPENING NIGHT SUMMER GALA
100 YEARS ON THE BAY
To benefit the Bellport-Brookhaven Historical Society Museum
Name
_________________________________________________________
Address
_______________________________________________________
City __________________________ State _________
Zip ____________
Please hold at the door _____ reservations @ $125 each: $
____________
We also wish to sponsor the work of the Historical Society by
including
an additional contribution in one of the following categories:
[ ] Benefactors $2,500
[ ] Patrons $1,000
[ ] Friends
$ 500 [
] Sponsors $ 250
[ ] Other $__________
We are unable to attend but wish to make a contribution of: $
_________
Total Enclosed _______________________
Please make checks payable to: The Bellport-Brookhaven
Historical Society.
Reservations and Contributions received by July 1 will be
listed in the Gala program. Contributions and all but $40 per
reservation are tax deductible.
| Return to: |
Bellport-Brookhaven Historical Society |
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P.O. Box 47 |
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Bellport, New York 11713 |
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