House Party Door Prize Ticket Thank you for attending this

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					            House Party                                House Party                                House Party
          Door Prize Ticket                          Door Prize Ticket                          Door Prize Ticket

Thank you for attending this Breast        Thank you for attending this Breast        Thank you for attending this Breast
Cancer Action event!                       Cancer Action event!                       Cancer Action event!

Please fill in the information below and   Please fill in the information below and   Please fill in the information below and
give this ticket to your host to enter     give this ticket to your host to enter     give this ticket to your host to enter
the door prize drawing.                    the door prize drawing.                    the door prize drawing.

Name                                       Name                                       Name
Address                                    Address                                    Address



Phone (     )                              Phone (     )                              Phone (     )
E-mail                                     E-mail                                     E-mail
            House Party                                House Party                                House Party
          Door Prize Ticket                          Door Prize Ticket                          Door Prize Ticket

Thank you for attending this Breast        Thank you for attending this Breast        Thank you for attending this Breast
Cancer Action event!                       Cancer Action event!                       Cancer Action event!

Please fill in the information below and   Please fill in the information below and   Please fill in the information below and
give this ticket to your host to enter     give this ticket to your host to enter     give this ticket to your host to enter
the door prize drawing.                    the door prize drawing.                    the door prize drawing.

Name                                       Name                                       Name
Address                                    Address                                    Address



Phone (     )                              Phone (     )                              Phone (     )
E-mail                                     E-mail                                     E-mail