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Package Name Amount Quantity Subtotal

General Admission $0.00

Alumni Army Member/Breast Cancer Survivor $0.00

Opportunity Drawing Ticket $0.00

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I authorize Image Reborn Foundation to use the credit card entered on the submission page at event 2021 Night of Empowerment. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

Many thanks to our generous sponsors