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Please enter information in the form below to process registration for event “Cruising for Murder” Comedy Show!.

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Ticket Type	Price	Quantity
Individual	$40.00
Table of Eight:	$300.00

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As required by a new Florida law (Section 496.415(20), Florida Statutes), all donations and contributions to the Council on Aging of Martin County, Inc. must include a certification from the donor that the donation/contribution is not from a “foreign source of concern.” A “foreign source of concern” is any person, agency, or entity which is a citizen, resident, entity, or agent of, or is otherwise affiliated with, any of the following countries: People’s Republic of China, Russia, Iran, North Korea, Cuba, Venezuela, or Syria.

I HEREBY CERTIFY that my donation(s) to the Council on Aging of Martin County is not from a “foreign source of concern” as defined under Florida law.For more info: www.coamartin.org/statute*

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The Charles & Rae Kane Center, 900 SE Salerno Road, Stuart, FL 34997

Email: Kanecenter@coamartin.org
Phone: (772) 223-7800

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