Deaconess - Deaconess Foundation Party of the Year

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Party of the Year

Register to Attend

Your Information

First Name:

Last Name:

Company Name:

Street:

City:

State:

Zip:

Phone:

Email:

Donation Information

Full tables or individual tickets can be purchased. Please designate either the number of individual tickets OR the number of tables requested.

Number of Tickets:

($250 / Individual Ticket)

Number of Tables:

($2,500 / 8 guests)

Number of Special Sponsor Tables:

($5,000 / 8 guests)

Number of Signature Sponsor Tables:

($7,500 / 16 guests)

Number of Royal Sponsor Tables:

($10,000 / 16 guests)

If you are hosting a table, please indicate the names of your guests, separated by commas:

I am unable to attend. Please accept my contribution in the amount below:

(All donors of $100 or more will be listed in the program.)

Payment Method:

Payment

Amount

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