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This form is for Dinner Reservations only.
For any other donation or more than one type of donation, please click on the appropriate button below.
If you have any questions, please call us at 262-242-5437.
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Form for Dinner Reservations
Name (Individual Donors Only)
*
First
Last
[object Object]
Company Name (for Corporate Tables)
*
Company Contact Name
*
*
Indicates required field
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number (xxx-xxx-xxxx)
*
Please use the format: 555-555-5555
Email
*
Please include the names of your guests you are registering, as they should appear on the place cards. Please list yourself as Guest 1.
Name of Guest 1
*
Name of Guest 2
*
Name of Guest 3
*
Name of Guest 4
*
Name of Guest 5
*
Name of Guest 6
*
Name of Guest 7
*
Name of Guest 8
*
Name of Guest 9
*
Name of Guest 10
*
We look forward to seeing you at the dinner!
When you click "Submit", you will be taken to the Payment page.
Submit
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