2025 Benefit Table Host Reservations

Tables are sold out for the event. If you would like to be put on a waitlist for seating, please contact our office at 574.232.5433 or email Griffin at outreach@prolifemichiana.org.
Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Place Your Reservations*

Tickets

Balcony Hosted Table

If you would like to be put on a waitlist for seating, please contact our office at 574.232.5433 or email Griffin at outreach@prolifemichiana.org.

$900.00 Quantity

Main Level Hosted Table

If you would like to be put on a waitlist for main level seating, please contact our office at 574.232.5433 or email Griffin at outreach@prolifemichiana.org.

$1,350.00 Quantity

Program Listings

Angel of Life Listing

Donations of $5 made in children's names listed in the program.

$5.00 Quantity

Memorial Listing

Listing in the program in the memory of a deceased loved one for a $25 donation.

$25.00 Quantity

Friend of Life Listing

Listing in the program as a Friend of Life for each donation of $50.

$50.00 Quantity

Advocate for Life

Listing in the program as an Advocate for Life for each donation of $100.

$100.00 Quantity

Total

$0.00

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

How should we list your table name in the program?
Please list the names of the guests at your table:
Please list the names of the guests at your second table:
Please list the names of the guests at your third table:
Do any of your guests have food allergies?
If you ordered a program listing, please list the name(s) as you would like them printed in the program.
Should be Empty: