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YWAM Haiti Benefit Banquet 2022 at Shady Maple Smorgasbord
Contact Information

First Name
Last Name



This is so we can contact you in case we have questions about placement.

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

This is in case the individual who purchased tickets isn't planning on attending.

Consider sending a support check towards YWAM Haiti. Without your support, we wouldn't be able to do what we do. Every penny counts!
*
$
In case you prefer to pay for your table/ticket another way, please choose one of the following.
If by Check

We will follow up from this form for table/individual ticket placement. In case you wish to pay via check. Please make checks out to YWAM Haiti and send them to

PO Box 236
Akron PA 17501

With a separate note letting us know what name and phone number your RSVP is under so we can look it up. Thank you!

Give using your phone option

You can give over your phone. Text GIVE to 

(855) 933-3294

And follow the easy to understand directions.