ADA Annual Event Reservation

Spring for a cure 2014

A benefit event for the millions of people and families living with diabetes.

The Endocrine Group’s own Dr. Mark Fruiterman, is host MC for the festivities

Where:

The Endocrine Group
1365 Washington Avenue, Suite 300
Albany, NY 12208

When:

April 4th, 6:00 PM

Admission:

$25 per person

Online Payment Options via PayPal



Other Amount:



Your email or reference for payment amount :



Event Festivities:

  • Barbeque Bonanza Raffle (see details below) to be drawn April 5, 2014. You do not have to be present to win
  • Silent auction of: Original art by talented regional artists, Unique goods and services
  • LIVE MUSIC. WINE. LIGHT FARE.

BARBEQUE BONANZA RAFFLE!!

  • Value $1000 | Ticket price $10 each / 3 for $25

if you prefer to reserve by mail,

please print out and send:

Please charge my credit card in the amount of $

Circle one: Visa / Master Card

Name on card: _______________________________

Signature: _______________________________

Address: _______________________________

City State Zip: _______________________________

Credit card #: _______________________________

Exp. date / 3 digit code on back: __________

E-mail: _______________________________

Check enclosed in the amount of $ payable and sent to:
Art de Cure, PO Box 685, Slingerlands, NY 12159