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St. Matthaw 2011 Gala Registration
Please fill out your information below to register for this event.
Name
*
First Name
Last Name
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What church do you attend?
Address
*
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Best Phone Number
*
Alternate Phone Number
Email
*
Reservations
Number of tickets needed
1
2
3
4
5
I/We would like to sit with:
Up to eight people per table.
Order Bortolotti Moscato Sparkling Wine
0
1
2
3
4
5
Select the number of chilled bottles to be served at your table, $15/bottle
I/We cannot attend but will make a donation
$
All donations go to the Gala Fund-a-Cause
Perferred payment method
*
Personal check (I'll send or drop off)
Credit card (we'll call you)
Other:
Other Value
Registration, $50/person until Dec 29, and $55 after. Total cost will include wine, if desired.
How did you hear about this event?
Tom Dempsey, the man!
Friend or colleague
Email
Facebook
Other:
Other Value