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Habitat for Humanity Lakeside's 2024 Raise the Roof Ticket Purchase

Thank you for your interest in our mission and for supporting our 2024 Raise the Roof Gala which is taking place on Friday, April 19, 2024 from 5pm-8:30pm at The Village at 170. Please fill out the fields below so we can capture your information accurately. If you have any questions about the registration form or have difficulties filling it out, please reach out to Niki Zohrab, our Executive Director, at 920-458-3399 ext. 302 or nzohrab@habitatlakeside.com.

Type of Ticket Purchase *	Quantity
$6,500 - Event Sponsor (seating for up to 30 guests)
$3,000 - Associate Sponsor (seating for up to 20 guests)
$1,000 - Friend of Habitat Sponsor
$750 - Table Purchase (seating for 10 guests)
$75 - Individual Ticket

Is this an individual or company purchase?

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Please list how you would like your name to appear in our annual report: Anonymous, Jon & Jane Doe, Jon and Jane Doe, Business Name, Etc...

Contact Information for Billing

Name

First Name

Last Name

Company Name

Address

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