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Event Registration

Event: Celebration Company Tenth Anniversary

August 25, 2019
   11:30 am to 03:30 pm

Celebration Company Tenth Anniversary


Personal Information

First Name: 
Last Name: 
Address Line 1: 
Address Line 2: 
City: 
State: 
Zip: 
Country: 
Day Phone:  () - ext.
Home Phone:  () -
Email Address: 

Ad Journal Levels


(Please note how many ads you are purchasing)
Qty
Full Page Patron Ad
(includes 8 tickets) ($2,500.00)
Full Page Supporter Ad
(Includes 4 tickets) ($1,250.00)
Half Page Supporter Ad
(Includes 2 tickets) ($613.00)
Third Page Ad
(Includes 2 tickets) ($300.00)
Three Lines
 ($100.00)
Total $:$0.00

Tickets


(Please note how many tickets you are purchasing)
Qty
Individual Supporter ($100.00)
(Tables contain 10 seats each)
Celebration Company Employees receive three tickets
Each additional ticket is $36
Additional Guests
Social Group, Transition Program Participants, Project Shalom and Kesher School Participants, Nite Owls, Friendship Circle Participants receive one ticket
Each additional ticket is $36
Additional Guests
Qualified Program Participant Registration
(see list of programs above) No Charge
Registration required. Please add 1 in the registration box to the right.
Total:$0.00
Please list all the people in your party:
Other Accomodations:

OR
Donation Amount
$

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