Bowl-A-Thon Order Form

Please mail your order form along with your check or credit card information to:

Glendale Foundation For The Retarded
6512 San Fernando Road
Glendale, CA 91201-2109

Orders paid by credit card may also be faxed to (818) 242-3010
or the necessary information may be sent by e-mail to info@garservices.org

For further information, please call, fax or send e-mail to:
Phone: (818) 242-2434       Fax: (818) 242-3010
Office Hours: 8 a.m. to 4 p.m. Monday - Friday
Email: info@garservices.org

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Item Quantity Sponsor Level Donation Total
1
 ____ 4 Bowler Team Registration $125.00 _____.___
2
 ____ Sponsor a Client Bowler from GARServices $25.00 _____.___
3
 ____ Individual Bowler Registration $35.00 _____.___
Sub-total _____.___
Tax-deductible donation (optional) _____.___
TOTAL ENCLOSED _____.___

Name _____________________________________________________________

Address ___________________________________________________________

City ______________________________________ State ___ Zip _____________

Phone (_____) _______________ Email _________________________________

All tickets will be held at the door

Please charge my credit card:

[__] Am/Ex [__] MasterCard [__] Visa

Card # _____________________________________________________________

Expiration Date ___/___ Signature _____________________________________

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