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IPI's 10th Anniversary Founders Dinner - RSVP
Use this form to purchase tickets, sponsorship, or program ads. Be sure to click "submit" on the third page to complete your RSVP.
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Please reserve the following number of seats for the Founders Dinner at $200 per seat:
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I am unable to attend, but please accept my donation of:
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Information
Name
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Address
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Phone
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E-mail
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How do you intend to pay?
Pay online:
http://www.pediatricinnovation.org/online-payment-portal
Pay by phone: 617-902-2125, ask for Stephanie Tin
Mail check payable to "Institute for Pediatric Innovation" to Institute for Pediatric Innovation, One Broadway 14th Floor, Cambridge, MA 02142
Names of any others in your party:
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Your reservation will be confirmed upon receipt of your payment.
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