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2024 Soiree Registration
Amount
*
Quantity
$150
-
Individual Ticket
0
1
2
3
4
5
6
7
8
9
10
10
$1,500
-
Table for 10
0
1
1
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Registered guest #2
First Name
Last Name
Registered guest #2 email
Verify Email
Registered guest #3
First Name
Last Name
Registered guest #3 email
Verify Email
Registered guest #4
First Name
Last Name
Registered guest #4 email
Verify Email
Registered guest #5
First Name
Last Name
Registered guest #5 email
Verify Email
Registered guest #6
First Name
Last Name
Registered guest #6 email
Verify Email
Registered guest #7
First Name
Last Name
Registered guest #7 email
Verify Email
Registered guest #8
First Name
Last Name
Registered guest #8 email
Verify Email
Registered guest #9
First Name
Last Name
Registered guest #9 email
Verify Email
Registered guest #10
First Name
Last Name
Registered guest #10 email
Verify Email
Please list any dietary restrictions and/or seating requests
Add 3% to my total amount to help cover the payment processing fees
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