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NCCADV
123 W. Main Street, Suite 700
Durham, NC 27701

Phone: 919.956.9124
FAX: 919.682.1449

Toll Free:
1-888-997-9124



 

 

8th Annual NCCADV Men for Change Award Ceremony

Social (Appetizers) and Dinner

November 15, 2012

6pm

William B and Ida Friday Center

Chapel Hill, NC
 

 Special Guest:
Neil Irvin of Men Can Stop Rape

 

Cost:

 Student Ticket $20

Individual Ticket $30

Couples Ticket (for 2 people) $50

Table Ticket (for 10 people) $ 250

Please provide the following contact information:
*Required fields

*First Name
*Last Name
*Organization
*Street Address
Address (cont.)
*City
State
*Zip
*Phone
example: 555-555-1212
*E-mail
Do you require any Vegetarian Meals? Yes How many?

 

 If you cannot attend but would like to sponsor
a student to attend please donate below: 

 
 

 

 
 
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