Night of Champions
Registration
Saturday, April 26, 2008

Name:

E-mail:

Address:

Phone:

Number of attendees for lounge seating with cocktails and hors d’oeuvres ($60 per person)

Number of attendees for grandstand seating ($15 per person)

Number of children 12 and under ($10 per person)

I am unable to attend, but will support Kim & Brent by making a tax deductible contribution in the amount of...

Please mail check made payable to the
Figure Skating Foundation to:
Night of Champions
C/O Mitch Lewis
14 Radcliffe Road
Bala Cynwyd, PA 19004

The Figure Skating Foundation is registered as a
501(c)3 organization. Tax deductible forms
are available upon request.