Name	_________________________________________

Address	_________________________________________

        _________________________________________

        _________________________________________

Phone	_________________________________________

E-mail	_________________________________________


_____	Children (under 12 years old) - No Charge

_____	Tickets at $100 per person-Total amount enclosed 	$______

_____	I/We cannot attend, but please accept a donation of 	$______

	Donations of any amount are greatly appreciated


Please make all checks payable to the: 
    Kevin J. Hannaford, Sr. Foundation
    75 Claremont Avenue
    Suite 305
    Bernardsville, NJ 07924


All contributions are tax-deductible to the full extent of the law.