264 Watchogue Road
Staten Island, New York 10314
Phone: 718-983-3800
Fax: 718-983-3858
Email: graceofny@aol.com
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The 2009 Gala will be held at
The Excelsior Grand, 2380 Hylan Blvd. Staten Island, NY
This Year’s Honorees
Barbara Pandolfi D’Amora
Michael Lanza
Richmond County Savings Foundation
Reservations are available
$125.00 per person
If you are interested in attending, please complete the bottom portion of this form.
Checks payable to:
The Grace Foundation of New York
264 Watchogue Road
Staten Island, NY 10314
718 983 3800
Name_________________________________________________________________________________
No. of Tickets at $125 each_________AmountDue_______________Solicitor____________________
Address_________________________________________________________________________________
City, State and Zip Code________________________Telephone____________________________
Person/Persons you would like to be seated with:__________________________________________
_________________________________________________________________________________________
__________________________________________________________________________________________
The Grace Foundation of New York is Designated 501© 3 status by the I.R.S. All contributions are tax deductible to the fullest extent of the law.
The tax deductible value of each ticket is $40.