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25th Anniversary & Loving Civil Rights Award Reception - Registration

Thank you for your support of the Connecticut Fair Housing Center!

All proceeds from this event will support the Center's mission to ensure that all people in Connecticut have equal access to housing opportunities.

Unable to attend, but still want to support the Center's work? Click here to make a tax-deductible donation in any amount.

Looking to submit payment for an event sponsorship or program ad? Please click here.

Questions about registration, or want to register by phone? Contact Letty Ortiz at (860) 263-0722 or letty@ctfairhousing.org. Payments via check are also welcome. Please make checks out to CT Fair Housing Center and mail to CT Fair Housing, 60 Popieluszko Court, Hartford, CT 06106 - please be sure to include names of all attendees.

To review details about this year's event, visit www.ctfairhousing.org/25years.

We look forward to seeing you on May 30th!

Individual Registration

Please provide details about the person attending and any guests. Please note: the format of this event has changed this year to a cocktail reception (no longer a sit-down dinner with reserved tables).

Individual Registration *	Quantity
$65 - Individual Ticket (enter quantity at right)

Registrant Details

Registrant Name

First Name

Last Name

Organization/Company

Address

Address Line 1

Address Line 2

City

State/Province

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Phone

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Guest Details

Please enter the names and meal choices of your guest(s):

Guest #1 Name

First Name

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Guest #2 Name

First Name

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Guest #3 Name

First Name

Last Name

Guest #4 Name

First Name

Last Name

Additional Guests?

Registering for more than 4 additional guests? Please list their names here.

Anything Else We Should Know?

Please note any important details we should know, such as accommodations you may need in order to access/enjoy the event.

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