Community Caring Celebration
Fill in and submit this form to reserve your place. *Required fields.
*Your name:
*Company/organization:
*Phone number:
*Email address:
I would like to be a Table Captain and coordinate a table of 10. (See below.)
I have been invited by a Table Captain. His or her name is:
My Table Captain is paying/ has paid for my registration:
I would like to purchase one or more individual tickets.
Names and companies of other guests whom you're registering for (10 seats per table), if applicable.
*Total Payment Due: ($15 per seat) Payments must be received to hold reservation.
$
I have special dietary restrictions: