Bi-State Coalition Fundraiser & Scholarship Awards Registration

Bi-State Coalition Fundraiser & Scholarship Awards Registration
Date: October 25, 2024

Time: 7 PM

Location: 1003 Morris Ave, Building 2, Union, NJ 07083

For questions or concerns, feel free to contact us at (212) 363-0151 or email portauthoritybistate@gmail.com
Name*

First NameLast Name
Email*
example@example.com
Organization (Optional)
Method of Payment

Donation of $125 by October 1st.

Payment of $150 after October 1st.

Payment Options

Venmo: @BiStateCoalition

Eventbrite
Payment Options

EventbriteVenmo: @BiStateCoalition (Code: 7809)Zelle: Portauthoritybistate@gmail.comPay At Door - Please Note: Payment at the door will be $150
Dietary Restrictions / Food Allergy*
Should be Empty: