Parkinson's Support Center

- Denim & Diamonds

Capital Campaign
- Announcement

Services
- Support Group Meetings
- Parkinson Partners

Information
- Parkinson Disease
- PSCKY History
- KY Movement Disorder Drs.
- Glossary A-M
- Glossary N-Z

Resources
- Organizations
- Helpful Website Links
- Books/Articles
- Shop Amazon!

How Can I Help?
- Keep Fit For A Cause
- Sponsorship Opportunities
- Volunteer Your Time
- Make A Gift/Donations

Denim & Diamonds Gala Celebration
Reservation Form

2008 Location:
Friday, June 6, 2008 - 7:00pm - 1:00am
836 Wolf Pen Branch Prospect, Kentucky
Fleur de Lis Horse Farm

Required Fields (*)

	Please reserve a table for my party of 10 for cocktails, dinner and dancing at $1,500
	Please reserve seating for for cocktails, dinner and dancing at $150 per person
	Please reserve tickets for cocktails and dancing at $75 per person. Entry is at 10 p.m.
	I will not be able to attend, but would like to make a donation of $ to the Parkinson Support Center of Kentuckiana.
*Name:
*Address:
*City:
*State:
*Zip:
*Phone:
*Email:

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Parkinson Support Center of Kentuckiana
c/o Vicki Stanley Director
4912 U.S. Highway 42
Louisville, Kentucky 40222
Phone: (502) 426-0888
Email: info@pscky.org
Website: www.pscky.org