CASINO NIGHT
PRINT OUT FOR MAILING
NAME: _______________________________
ADDRESS: _______________________________
_______________________________
_______________________________
PHONE: _______________________________
EMAIL: _______________________________
LOCATION:
SYNERGY MULTI-CARE PROFESSIONALS
MEDICAL CENTER
1570 OLD COUNTRY ROAD
WESTBURY, N.Y. 11590
516 338 0412 ext 3
rmazza@synergymulticare.biz
DATE:
Thursday Night
November 7, 2013
TIME:
7:00 to 11:00
YOUR $100.00 DONATION PER PERSON
Provides: Synergy Dollars, Entertainment,Cocktails and Food
PLEASE MAKE CHECKS PAYABLE TO:
The American Cancer Society
MAIL TO:
1570 Old Country Road
Westbury, N.Y 11590
Dr. Ronald P. Mazza
Email: rmazza@synergymulticare.biz
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