Annual Benefit Dinner 2025 Registration

Annual Benefit Dinner 2025 Registration
Name*

PrefixFirst NameLast NameSuffix
Sponsorship Name(s) to Appear in the Program Book (if applicable)
for Gold, Silver, and Bronze benefactors
Email*

Confirmation EmailConfirm Email
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reservations*
prevnext( X )
Individual Reservation
per person

$300 Quantity



Gold Benefactor
priority seating for table of ten

$10,000 Quantity



Silver Benefactor
preferred seating for table of ten

$5,000 Quantity



Bronze Benefactor
prime seating for table of ten

$3,000 Quantity



Drawing Tickets Donation
Suggested ticket contribution: $25/each or five for $100

$25 Quantity



I wish to make a contribution of...
Patron - $1,000 or more; Contributor - $500 or more; Donor - $250 or more; Friend - up to $250

$1 Donation Amount



Total

$0.00
Seating Arrangements

Please print the full names of the people with whom you wish to be seated. Guests will be seated at tables of eight or ten. If no seating preference is indicated, seating will be arranged.
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10
Once you click the SUBMIT button, you will be redirected to the PayPal website to make a secure payment using your credit/debit card or PayPal account.
Should be Empty:

Seating Arrangements