Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will you attend ?
*
Yes
No
Number of Attendees
*
Names of all Attendees
*
List dietary restrictions
Are you attending with an organization or other individuals with which you would like to be seated? If so, what is the name of the organization or individuals:
Would you like to sponsor a table (seats 8)? The cost is $250, which covers the food and additional costs so that all funds collected at the event go directly to the ministry
*
Yes
No
Would you like to fill your table with guests? If not, we are happy to fill your table with guests who have RSVPd. Note: all guests attend for free, and we need to know the names of all attendees one week before the banquet.
Yes
No
Yes, but I'd only like to fill a portion of the table
How would you like to purchase a table sponsorship?
Through credit card/Paypal on this form
Dropping off a check or cash at the center
Donation amount
prev
next
( X )
USD
$250 will cover one table
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Buy with
Buy with
Submit
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