Camp Ghormley Fall Fundraising Dinner Event Registration Form

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Contact Information
Name*

First NameLast Name
E-mail*

Confirmation Emailexample@example.com
Phone Number*
Dietary Requests:
Additional Comments, Questions, or Table Seating Requests
Please let us know if someone has invited you to sit at their table, or provide us any other helpful information.

Payment Information
My ticket has already been paid by someone else.

YesNo
Event Host Name*
Please enter the name of your table host or sponsor.
How would you like to pay for any purchases made at the Camp Ghormley Fall Fundraising Dinner and Auction 2024.*

Please keep my card information on file. I understand this information may not be used for any other purpose without my written consent.I will pay at the end of the event before I leave. I understand I am responsible for any pledge commitments I make during the evening.
Please keep my card information on file for a faster checkout the night of the event. I understand that this information will be securely stored and used only for purchases made at the Camp Ghormley Fall Fundraising Dinner and Auction 2024. This card information may not be used for any other purpose without my written consent.*

YesNo
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Tickets
Please include yourself in your group total. For example, if you are paying for you and someone else, your total number would be 2. If you would like to purchase a whole table, please choose 8.
Credit Card Information

Number of Tickets

Event RegistrationIf you are paying on behalf of other guests, please count them in addition to yourself for your total number of attendees. For example, you and 1 other guest would be a total of 2 attendees. If purchasing tickets for a whole table, then choose 8 for total number of attendees.

$50.00 Total Number of Atendees

Total

$0.00

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

Please verify that you are human*
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Contact Information

Payment Information