Charity Preview Tickets Order Form
Charity Preview Ticket @ $400.00 each Quantity
Total Amount Due $0.00
Please designate the charity/charities to benefit from your ticket purchase:
Boys & Girls Clubs of Southeastern Michigan
QTY  
Detroit PAL
QTY  
Boys Hope Girls Hope of Detroit
QTY  
Judson Center
QTY  
Children's Hospital of Michigan Foundation
QTY  
March of Dimes Metro Detroit
QTY  
DADA Charitable Foundation Fund
QTY  
The Children's Center
QTY  
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Customer Information
Personal Title
First Name
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Company
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Billing and Shipping Information
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Shipping Address
Street Address
City / Province
State Zip Code
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Payment Information
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Name on Card
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Exp. Date (mm/yyyy) /
Ten percent of the amount benefitting a charity other than the DADA Charitable Foundation Fund will be allocated to the DADA Charitable Fund for grants to children's charities beyond the charities listed.
Tickets available for pick-up now until 11:30 A.M. on January 13, 2017
ORDERS MUST BE PICKED UP IN THEIR ENTIRETY. The NAIAS Troy office is located at 1900 West Big Beaver, Suite 100 (between Crooks & Coolidge Roads - east entrance, 1st floor)
Office Hours: Monday thru Tuesday 9 A.M. to 5 P.M.
  CLOSED Wednesday  
  Thursday thru Friday 9 A.M. to 5 P.M.
    Tickets available for pick-up at Cobo January 13, 2017 after 1:00pm
ORDERS MUST BE PICKED UP IN THEIR ENTIRETY. The NAIAS Ticket Office is located outside the Hall C entrance of Cobo Center.
Name of person picking up tickets (I.D. required):
 
Date Picking Up