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15 t h A N N U A L C O M M U N I T Y AWA R D S A N D A P P R E C I AT I O N B R E A K FA S T Celebrating Hispanic Heritage Month

Date: Tuesday, October 15, 2013, 7:30-9:00AM, Mount Airy Casino Resort, Mount Pocono, PA Speaker:Sofia Sofia Ojeda, Speaker: Ojeda [HerWNEP Titles] News 16, Co-Anchor Cost: $30.00 per person, $150 for a Table of 5 To R.S.V.P., fax this form by Tuesday, Sept. 24th, 2013 to 1 (866) 499-2923, mail it to the address below or email to Elika@laanepa@org

Registration r.s.v.p. Name: Company/Organization: Address: Phone : _____________________Fax : _____________________ e-mail : _______________________________ Phone: Fax: Email: $30 Individuals (number of people who will attend): _______ @ $30@pp = $Per Person = $________ @ $150 Group/Sponsor - Table of 5 for $150 (number of tables): _______ @ $150 each each = $ = $________

Attendee:

e-mail : _______________________________ Email:

Attendee:

e-mail : _______________________________ Email:

Attendee:

e-mail : _______________________________ Email:

Attendee:

e-mail : _______________________________ Email:

Attendee:

e-mail : _______________________________ Email:

(list additional attendees on a separate sheet) Payment method: q Please invoice me for $ q Check enclosed in the amount of $ q Sorry, I cannot attend. Please accept our charitable donation of (circle one) $25, $50, $50 $100, other $25 $100 $ other $___________ And send my tax deduction receipt to the address above. Bridging the Latino Community to Northeast Pennsylvania

(570) 420-3725 | f (570) 420-3730 | www.laanepa.org Loder Building | 2nd Floor | 62 Analomink Street, East Stroudsburg, PA 18301 The Latino American Alliance of Northeast Pennsylvania is a Pennsylvania registered Non-Profit Charitable Organization with 501 (c) 3 Status. Since 1997, LAANEPA has been serving Monroe County through our Latino Community Services Office (LCS).


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