Please join us for a community-wide thank you to Congressman Jim Walsh for decades of passionate service in support of Syracuse Neighborhoods.

Register no later than May 15, 2008.

Please fill out the following preregistration form and someone from Home HeadQuarters will call you to complete your request. Amount of tickets purchased 1 - $2002 - $4003 - $6004 - $8005 - $10006 - $12007 - $14008 - $16009 - $180010 - $2000 I am unable to attend, but would like to make a contribution Name I wish to donate tickets 1 - $2002 - $4003 - $6004 - $8005 - $10006 - $12007 - $14008 - $16009 - $180010 - $2000 Company Name City/State/Zip Address Phone Email Names of persons attending Email of person attending Thank you! Someone will be contacting you shortly to confirm and to verify billing. 124 East Jefferson Street, Syracuse, NY 13202 Phone (315) 474-1939 Fax (315) 474-0637 Email: info@homehq.org