Please return to: Danny Grossman Dance Company 204-425 Queen Street West | Toronto, Ontario | M5V 2A5 | (416) 408-4543 Registered Charity Number: 10126 4760 RR 0001 I support Danny Grossman Dance Company ! With a donation of: □ $20 □ $50 □ $100 □ Other $____________ Method of payment: □ Cheque (Please make cheque payable to Danny Grossman Dance Company) □ VISA □ MC □ AMEX Credit Card N0. Expiry Date: Signature: Name: Address: City: Province: Postal Code: Country: Phone: Email: □ I wish to remain anonymous □ I wish my name to be included in the programs exactly as follows: With our sincere thanks!
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