Logo: Michelle Karshan and staff and participants of Alternative Chance/Chans Altenativ in Haiti

Alternative Chance Donation/Reservation slip for Awards/Fundraising Dinner

___ Yes! I can attend the 2008 annual dinner. I am enclosing a check in the amount
of $________ for ____ number of tickets at $100 each.

___ I cannot attend but am enclosing a donation in the amount of $_______

Please make your tax deductible check out to Parish Twinning Program and mail
to Alternative Chance, 70A Greenwich Avenue, Suite 373, New York, NY 10011

Name: __________________________________________
Organization: ____________________________________
Address:____________________________________________
City: ___________________ State:____ Zip Code: ______
Tel:__________________________Fax: _______________________
Email: ______________________________
Website: ____________________________

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___ Yes! I can attend the 2008 annual dinner. I am enclosing a check in the amount
of $________ for ____ number of tickets at $100 each.

___ I cannot attend but am enclosing a donation in the amount of $_______

Please make your tax deductible check out to Parish Twinning Program and mail
to Alternative Chance, 70A Greenwich Avenue, Suite 373, New York, NY 10011

Name: __________________________________________
Organization: ____________________________________
Address:____________________________________________
City: ___________________ State:____ Zip Code: ______
Tel:__________________________Fax: _______________________
Email: ______________________________
Website: ____________________________

=================================================

___ Yes! I can attend the 2008 annual dinner. I am enclosing a check in the amount
of $________ for ____ number of tickets at $100 each.

___ I cannot attend but am enclosing a donation in the amount of $_______

Please make your tax deductible check out to Parish Twinning Program and mail
to Alternative Chance, 70A Greenwich Avenue, Suite 373, New York, NY 10011

Name: __________________________________________
Organization: ____________________________________
Address:____________________________________________
City: ___________________ State:____ Zip Code: ______
Tel:__________________________Fax: _______________________
Email: ______________________________
Website: ____________________________