Please join us for an evening of
Black Jack, Roulette, Poker, Slots, live music,
silent auction, raffles, food, drink and fun…

Saturday, November 3, 2012 - 7 pm to 11 pm
Fox Chase Cancer Center
The Robert M. Young, MD, Pavilion
333 Cottman Avenue
Philadelphia, PA 19111
A limited number of tickets are available.

Proceeds benefit the Postdoctoral Research Program
* required information
Purchase Tickets 
Contact Information
Please fill in all required fields. If completing form as a business, enter the Company Name as well as the name of a contact person in the First and Last Name fields.

First Name:*
Last Name:*
Company Name:
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Ticket Options
To purchase tickets for A Night in Monte Carlo on November 3, 2012, choose from the options below.
General Admission Ticket :
Includes $200 in casino chips
@ $100.00 = $
Platinum "Table" Sponsor :
Includes 6 tickets, $1,200 in casino chips, full page ad in program, and name on gaming table.
@ $1,000.00 = $
Gold Sponsor :
Includes 4 tickets, $800 in casino chips, and 1/2 page ad in program.
@ $500.00 = $
Silver Sponsor :
Includes 4 tickets, $400 in casino chips, and 1/4 page ad in program.
@ $250.00 = $
Additional Donation (Optional)
If you would like to make an additional tax-deductible donation to support the Postdoctoral Research Program at Fox Chase Cancer Center, please enter amount below.


Due to new state regulations, Fox Chase Cancer Center is no longer permitted to offer raffle tickets in exchange for casino play chips as stated on the invitation. As a result, Fox Chase will provide a quantity of raffle tickets to each guest to use to win prizes (i.e., raffle baskets).

Board of Associates
Fox Chase Cancer Center
333 Cottman Avenue
Philadelphia, PA  19111-2497
Office: (215) 728-2441 Fax: (215) 728-3574