PLEASE RSVP

Information
Title   *Sate
*First Name   *Zip
*Last Name   *Phone
*Address   *Email
*City   Community Dinner / $18/suggested donation  
Name/s of Attendee

Sponsor for $180   Silver Sponsor for $360   Gold Sponsor $500

Payment Information
Please charge my card in the amount   Card Type
Check or Card No.   Cvv Code What's This?
Card Exp:   Billing Zip

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