Scarsdale Foundation Bowl Dinner Registration Form

Your Name*

First NameLast Name

Email*

Confirmation EmailPlease confirm your email address

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How many people will be attending the dinner @ $200pp?

$200 per dinner ticket - the value of the event - is not tax-deductible. If you would like to bring more than 3 guests, (thank you!) please submit this form as many times as necessary.

Please tell us who will be attending with you. You can enter their names and email addresses in the fields below.

Guest #1

First NameLast Name

Guest #1 Email

Please take care to type the email in correctly as we will use this email to send the certificate and notification.

Guest #2

First NameLast Name

Guest #2 Email

Please take care to type the email in correctly as we will use this email to send the certificate and notification

Guest #3

First NameLast Name

Guest #3 Email

Please take care to type the email in correctly as we will use this email to send the certificate and notification

Would you like to add a tribute to the virtual journal for $100?

Please enter the text for your tribute here OR you can upload your own artwork using the button below

Upload your own artwork for your tribute here

Would you like to request a vegetarian meal? If yes, please select the number:

We welcome our sponsors:

Centennial Premier - $25,000

Founder - $10,000

Partner - $5,000

Friend - $2,500

Supporter - $1,000

Other - you can enter your own amount

Please enter your sponsorship level amount here:

If you are a sponsor, please tell us how you would like your name listed in the program:

Please Upload Your Logo Here

If you have a seating preference, please indicate with whom you would like to sit here:

Leave blank if you don't have a seating preference.

If you would like to make an additional donation, please enter that amount here:

Your Credit Card Total

NOTE: In order to cover fees incurred by Scarsdale Foundation from the payment processing company, choosing this option will add 3% to your total charge.

Bowl Dinner Registration

Total to be Charged to your Card

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Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration