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Your advertisement in the 2009 Starry Night Gala Journal will provide lasting recognition and help The Victory Center fund community outreach services. Please complete the information below, including your message in the box (you may also e-mail it to the address listed below). Mail or fax this form (including payment) to The Victory School by February 2, 2009.

Premium Page $ 1,000 Full Page $ 500 Half Page $ 250 Quarter Page $ 125
Type in your Message
Title
Name
Company Name
Mailing Address
City
State
Zip
Telephone
E-mail Address
Charge my donation to my: Visa Master Card American Express
Account Number
Expiration Date
3/4 Digit Code
Name as it appears on the card

Download and Print Form

Make checks payable to The Victory Center.
If you wish to mail this form with your credit card or check donation, please send to:

The Victory Center
18900 NE 25th Avenue
N. Miami Beach, Florida 33180
Phone: 305-466-1142 ext. 205
Fax to: 305-466-1143

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