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2023 BOTAR Ball
Contact Information
This registration is on behalf of an ...
Individual
Organization/Business
Organization/Business
*
Name
*
Prefix
First Name
Last Name
Suffix
Email
*
Verify Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Recognition Name / Preferred Name
*
How would you like your name to appear in program and on table assignment cards?
Reservation Information
RSVP
*
Yes, I or someone else will be attending.
No, I am unable to attend but will make a donation.
Donation Amounts / Tickets
*
$25,000
-
Royal Crown Underwriter (10)
$10,000
-
Royal Underwriter (4)
$5,000
-
Underwriter (4)
$2,500
-
Royal Benefactor (4)
$1,500
-
Benefactor (2)
$750
-
Patron (2)
$550
-
Couple (2)
$275
-
Single (1)
$215
-
BOTAR (1 reduced) *Limit 2 - ELIGIBLE up to 3 YEARS after BOTAR Year
$
Other notes/table requests
List names of others requested at table alphabetical by last name. Example - Jones, Smith, Wilson
Name of 1st attendee
*
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 1
Name of 2nd attendee, if know at this time
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 2
Name of 3rd attendee , if known at this time
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 3
Name of 4th attendee, if known at this time
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 4
Name of 5th attendee, if known at this time
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 5
Name of 6th attendee, if known at this time
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 6
Name of 7th attendee, if known at this time
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 7
Name of 8th attendee, if known at this time
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 8
Name of 9th attendee, if known at this time
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 9
Name of 10th attendee, if known at this time
Prefix
First Name
Last Name
Suffix
Dietary restriction for attendee 10
