Amherst Drug Court and Therapeutic Foundation

We're Your Team and We're Here To Help You

2018 Fundraiser

Please Support Our 2018 Annual Fundraiser
Thursday, October 25, 2018 - 5:30pm
Orazio's Portofino, 9415 Main Street (near Sheridan Dr.), Clarence, NY 14031

Amherst Drug Court 2018 Benefit Reception for Operation Opioid

 Sponsor Response Form

Name:_______________________  Company:______________________________________   
Address:______________________ City: _______________________________

State:________ Zip:_________
Phone:___________________   Cell Phone: ____________________

Email:____________________  Fax:______________________

Sponsorship Package:  Please check one

Platinum $2,500___ Gold $1,000___ Silver $500___ Bronze $250___

Individual Tickets $75___ Couple Tickets $125____

□ Enclosed is my check for payment in full for $__________

□ I will pay for my sponsorship on my credit card – call 716- 694-7867

□ Sorry, I cannot attend…but I would like to support this event,
enclosed is my donation for $ _____________

All major credit cards accepted

Please make checks payable to:    Amherst Drug Court & Therapeutic Foundation

Payments may be mailed to:    
Amherst Drug Court & Therapeutic Foundation
P.O. Box 764
Getzville, NY  14068

Any questions, please contact JRC Promotions at (716)-694-7867

For pre-registration information call (716) 694-7867, for tickets ($75/person, $125/couple) available at the door.

Donations gratefully accepted:
Amherst Drug Court & Therapeutic Foundation
P.O. Box 764
Getzville, NY 14068