|
||||
![]() |
||||
|
||||
|
||||
|
||||
|
||||
|
Print this page and use the form below or download .pdf file or if that does not work for you, use the online .pdf Don’t delay! Space is limited. Sign up to be one of 8 guests at Dinner with the Artist of your choice: Name (s)__________________________________________________________________________________ Address__________________________________________________________________________________ Home phone_______________________Work phone_________________________Email_______________ Choose an Artist: 1st choice________________________________________2nd choice__________________________________ Please charge $_______________ on my visa mastercard name on credit card____________________________________________________ address of card holder_______________________________________________________________zip______________ credit card number_________________________________________________________ signature_________________________________________________________________ expiration date_____________________ security code ________________ You will be notified by email or phone of the location of your dinner. (15 mile radius of Georgetown) Please send $175 per person (payable to Friends of Fillmore) to: Friends of Fillmore c/o Masters 4898 MacArthur Blvd, NW Washington, DC 20007 |
||||
| I would like to send an additional tax-deductible contribution to Fillmore.__________________
Fillmore Arts Center 1819 35th Street, NW, Washington, DC 20007 202.282.1107 Questions? Send via email to amasters@annemastersdesign.com, "DWAA 2008" in subject line, or call Anne Masters at 202.337.3748 Note: If an artist cancels due to illness or unforeseen circumstances, every attempt will be made to substitute another artist in the spirit of this event. |









