2009 Chiefs Charity Game a benefit for the Children’s Center for the Visually Impaired 7 p.m. Saturday, August 29 I want to get in the game and be an Individual Sponsor! For a $30 donation receive a game ticket and special t-shirt.
Name
Address
City
State
E-mail address (for confirmation)
T-shirt size (check one): Adult: Youth:
Zip
Phone (for confirmation)
o small o medium o large o x-large o xx-large o x-small o small omedium o large o x-large = adult small o xx-large = adult medium
o I’d rather pay by cash or check (made payable to CCVI).
o Please charge my credit card: o Amex
o Master Card o Visa
Number
Exp. Date
Signature
3-Digit V Code
Total donation
Number of tickets/t-shirts
Return this form and payment to: CCVI s 3101 Main Street s Kansas City, MO 64111
Ticket/T-shirt Pick-Up: Thursday, August 20, Friday, August 21 or Wednesday, August 26, 7 to 9 a.m., 11 a.m. to 1 p.m. or 4 to 6 p.m. each day at the Children’s Center for the Visually Impaired, 3101 Main Street, in Kansas City, Mo. Please use the southeast door. Questions? Call Traci at CCVI -- 816-841-2284 x2037