Cuisine Magic 2014 "Magic of Italy"

The Hilton Albany

To benefit Eddy Visiting Nurse Association and Eddy SeniorCare/PACE

Sunday, March 23, 2014

First Name Last Name Company Name (if applicable) Title (if applicable)
Address City State Zip
Daytime Phone Fax E-Mail
SPONSORSHIP
HONORARY COMMITTEE
RSVP by 1/6/2014 to be included on the invitation; to be included in the program, information must be received by 3/5/2014.
 Number of Tickets
Your tax-deductible donation will be the amount over $45 per reservation.
How would you like to be recognized? Guest Names
I/We are unable to attend, but wish to make a donation of $
Please charge my credit card for the following amount $
Card Type Card # Expiration Date (MM/YY) Signature
/
RSVP by March 14, 2014.
St. Peter's Health Partners
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St. Peter's Health Partners
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