Registration Form



____________________________________
Name


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Company


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Address


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City                                St            Zip


______________________________
Phone
 

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Email




Yes! I want to...

____ Sponsor Hearing Children's Voices

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Write in Sponsor level


_____Purchase ___ ticket(s) ($125 each)


Payment not due at this time--
Only your commitment
Payment due by April 6, 2007


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Please mail or fax this form to:
SafePath Children's Advocacy Center, Inc.
2221 Austell Road, Suite B
Marietta, Ga 30008

Questions? Please contact us at:
Phone: (770) 801-3469 ; (770) 801-3465
Fax: (770) 801-3468



Hearing Children's Voices benefits SafePath Children's Advocacy Center, Inc. SafePath works with children and their families to reduce their trauma surrounding the intervention, investigation, prosecution and treatment of alleged child abuse cases.