Fundraising Form

Come support Jacob, a six-year old boy with Batten Disease, and become aware of how to help Jacob and his family.

What: Fund Raiser and Silent Auction
Where: Peninsular Club – 77 Monroe Center, 1st Floor, Grand Rapids, MI 49503
When: Tuesday, August 18, 2009 from 5:30-8:00pm
Donation Ticket: $35 – Includes hors d’oeuvres & drink ticket
Complimentary Valet Parking Included

CONTACT FLORIZA GENAUTIS AT (616) 456-5627 FOR MORE INFORMATION

Personal Info
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RSVP

Please select how you would like to reserve:

  1. Purchase Tickets Online
  2. RSVP Now, Sending a check by mail
  3. I am not attending, but still wish to make a donation online
Purchase Tickets
  1. Price: $35.00
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RSVP Now, Sending a check by mail

Please mail payment to:
Jacob's Prayer
c/o Management Business Solutions
77 Monroe Center Ste 301
Grand Rapids, MI 49503

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I am not attending, but still wish to make a donation online

Click the register button below to be taken to our PayPal Donation Page.

Your support is greatly appreciated.