The Arizona Chiropractic Society by pengxiang


									                               The Arizona Chiropractic Society

                                      the Arizona premiere of

                     Tuesday, May 4, 2010 at Harkins Camelview Theatres

                                 6 p.m. Silent Auction and Cocktails
                                          7 p.m. Showtime

Tickets are available for $50 and include: the auction, cocktail hour, popcorn and soda, Special Guest
   Speaker, and the Arizona premiere of Focus Features’ much anticipated documentary, BABIES.

All proceeds will help expand chiropractic healthcare including AHCCCS coverage.

      Yes! I would like to purchase a ticket(s) to the Arizona premiere of BABIES and
      support Chiropractic healthcare.

      • I would like to purchase _____ ticket(s) at $50 each.
      • I cannot attend, but will support the cause: $_______
      • I would like to pay with:
             p A Check (payable to the Arizona Chiropractic Society)
             p Credit Card: VISA      MASTERCARD         AMEX    DISCOVER

                   Card Number                            Exp. Date

                   Signature                              Date

      Contact Information:

      Name or Company Name

      Address                         City                State        Zip

      ________________________________________      ______________________________________
      Phone                                         E-mail address

      Please return this form to:
      Arizona Chiropractic Society • 3515 East Carol Avenue • Phoenix, AZ 85028 • 602-368-9496

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