The Guardian Legacy Event Registration Form

The Guardian Legacy Event Registration Form

Please complete the form, print and forward to the address below.

Name
Address

City
State
Zip
Phone
Email
# of Producer's Ticket(s) @ $175 per person
# of Director's Ticket(s) @ $125 per person
# of Behind the Len's Tickets @ $25 per person
I am unable to attend the event, but would like to support the work of KidsVoice with a contribution of

If purchasing a Producer's, Director's or Behind the Lens Ticket, or making a contribution please print this form and mail it with your payment to: KidsVoice Attn: Michael Ann Dulcie 437 Grant Street; Suite 700 Pittsburgh, PA 15219 Official registration and financial information may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.