Printable Evening with Friends Host Registration form.

Please mail to Evening with Friends at P.O. Box 12583 Raleigh, NC 27605 or fax to us at
(919) 834-3404.


check box .I / we will pick-up a Host Packet at the Host Kick-Off Party at _________________.
check box .I / we will be unable to attend the Host Kick-Off Party, so please mail my Host Packet.

__________________________________________________________________
Please print Host name and e-mail address
__________________________________________________________________
mailing address
__________________________________________________________________
city / state / zip code
__________________________________________________________________
phone - day / evening


Party information
I / we will need __________ invitations. (one for each household you want to invite).

___________________________________________________________________ date..............................................................................................................time

___________________________________________________________________
location

(Please print and fill out a form for each additional Host.)


I / we will be unable to host a party this year but would like to participate. Enclosed is my tax-deductible
contribution of $______________. (Please make checks payable to Evening with Friends)

Please charge my...check box VISA....... check box MASTER CARD.....check box AMERICAN EXPRESS

_____________________________________________________________________
card # ...........................................>>>>>>>................exp. date         Verification Code

_____________________________________________________________________
signature (required)

thank you



Financial information about this organization [AAS•C] and a copy of its license are available from the State Solicitation Licensing Branch at 1-888-830-4989. The license is not an endorsement by the State.