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Please indicate number of ticket(s) and/or table(s):

$100 for Members/Non-licensed students/Affiliates

$120 for Non-members

$900 Table of 8

Reserved seating is available for a table of eight (8).

Please list name of attendees. (Names can be sent 1 week prior to gala)

I am not able to attend, but I would like to make a donation $

National Association of Hispanic Nurses — NJ Chapter

P.O. Box 7409

North Bergen, NJ 07047

Phone Number: 609-491-3381

njnahn@gmail.com

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