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.
Check enclosed (made payable to Miriam Foundation)
Method of Payment (check one)
Table Sponsorship Includes ten event tickets ______@
Friends of Miriam annual membership Valid for one year from date of purchase
Friends of Miriam lifetime membership ______@
Credit Card # Security Code Exp. date
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
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.
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.