For your convenience, you can fill out the form below and go to 'File' - 'Print' in the menu above. Bring the completed form to the party, or mail it to SPACES (address below)!

Tickets will be held at the door. Please indicate number of tickets below:

Night Owls	$35 per person	#		$
Party Animals a table of ten $1,000	$100 per person	#		$
Social Butterflies a table of ten $1,750	$175 per person	#		$

Unfortunately I will be unable to attend and I want to buy my way out of the Benefit.

Please accept my tax-deductible contribution of $

Method of Payment (check one)   VISA   MasterCard   Discover   Check

credit card number expiration date

Name:
Address:
City:	State:	Zip:
Phone: Daytime:	Evening:	Email:

SPACES
2220 Superior Viaduct
Cleveland, OH 44113