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Registration for The Silver and Turquoise Ball benefiting PIC
Cost per table: $2,000.00
Seats per Table: 10
Hosting a table requires you to host full tables only, so you will be given a full table even if it isn't filled.
Host Information
*
Required Fields
First Name:
*
Last Name:
*
Meal Choice:
Featured Meal
Vegetarian Meal
Company / Group Name:
Street Address:
*
Address 2:
City:
*
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
*
Home Phone:
Cell Phone:
Email Address:
*
Referred By:
Please enter any comments or special seating requests:
(Your request will be forwarded to the Table Committee for review. While we would like to honor all individual seating requests, please understand that in some cases it will not be possible.)
Additional Attendees
If you know your Guests' names at this time, please complete the boxes below and they will check in at registration under their name. If you do not know your Guests' names at this time, please enter GUEST for their first name and YOUR last name. They will then check in under your name at registration.
To update your guest list at any time, please contact the organization.
Guest First Name:
Guest Last Name:
Guest Meal Choice:
Featured Meal
Vegetarian Meal
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Featured Meal
Vegetarian Meal
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Featured Meal
Vegetarian Meal
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Featured Meal
Vegetarian Meal
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Featured Meal
Vegetarian Meal
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Featured Meal
Vegetarian Meal
Remove
Featured Meal
Vegetarian Meal
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Featured Meal
Vegetarian Meal
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Featured Meal
Vegetarian Meal
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