Chess Class Registration - Class Registration ... Quiz Master Sponsorship Includes ten event tickets, page 1
Chess Class Registration - Class Registration ... Quiz Master Sponsorship Includes ten event tickets, page 2
Chess Class Registration - Class Registration ... Quiz Master Sponsorship Includes ten event tickets, page 3

Chess Class Registration - Class Registration ... Quiz Master Sponsorship Includes ten event tickets,

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  • Chess Class

    Registration (instructors through the St. Louis Chess Club)

    Mondays

    3:30-4:30

    Novice and experts

    wanted.

    Begins 1/27/14

    Call 314-961-1500 to

    register by 1/23/14

  • Friday, January 24, 2014 9:00 10:00 a.m.

    Miriam School

    Clayton

    High School

    St. Marys

    High School Lafayette

    High School Bishop DuBourg

    High School

    Parkway South

    High School

  • Quiz Master Sponsorship Includes ten event tickets, recognition on screen & on quiz sheets for 10 rounds

    Round Sponsorship Includes recognition on screen & on quiz sheet for one round

    Single event ticket

    I cannot attend but please accept my tax-deductible contribution.

    $500.00

    Check enclosed (made payable to Miriam Foundation)

    Signature

    Method of Payment (check one)

    Name

    Address

    Phone Email

    ______@

    ______@

    Thank you!

    =$___________

    =$___________

    =$___________

    =$___________

    =$___________

    =$___________

    Table Sponsorship Includes ten event tickets ______@

    $ 25.00

    $200.00

    $250.00

    ______@

    Friends of Miriam annual membership Valid for one year from date of purchase

    Total:

    ______@

    $ 45.00

    Friends of Miriam lifetime membership ______@

    $ 500.00

    =$___________

    =$___________

    =$___________

    Credit Card # Security Code Exp. date

    Beer av

    ailable

    for

    donatio

    n!!!

    Soda, w

    ater, an

    d

    snacks

    provide

    d!

    Please return form and payment by Friday, February 14th to:

    Miriam: The Learning Disability Experts 501 Bacon Avenue St. Louis, MO 63119

    OR fax to (314) 962-0482

    MasterCard Visa Discover

    Proceeds ben

    efit the

    Miriam Schoo

    l

    Scholarship C

    ampaign!

    VIP Table - only 4 available! Includes ten event tickets, a table at the front of the room, ten mulligans, and inclusion in all games (heads or tails, etc.) for the entire table.

    $1,000.00

    ______@

    Live Auction item: 2bd, 2ba condo on Fort Myers Beach, FL

    EXTRA fun including: Silent Auction 50/50 Raffle Wine Pull Balloon Pop Heads or Tails

    Friends of Miriam is the membership branch of our organization, and is comprised of individuals who are committed to improving the lives of children with learning disabilities. Our Friends are a diverse group of parents, relatives, professionals, and community members with a variety of backgrounds and expertise. They seek to increase public awareness and support of Miriam by planning and participating in a variety of fundraising events.

    Doors open at 6 pm. Trivia begins at 7 pm.