2026 Annual Fundraising Banquet

November 19, 2026 | Please fill out this form and click submit.

Name

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Phone

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Address

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Email

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This address will receive a confirmation email

How Many Seats Do You Want to Reserve?

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Please select one option.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Name of Sponsor (if known)

Payment

1 Seat ($35) 2 Seats ($70) 3 Seats ($105) 4 Seats ($140)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

November 19, 2026

Please fill out this form and click submit.

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