Registration

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Package Name	Amount	Quantity	Subtotal

Event Fee	$165.00		$0.00



Table of 10 (10 included)	$1,650.00		$0.00



Gala Raffle Ticket	$20.00		$0.00


# of Tickets
Package Name	Amount	Quantity	Subtotal

I cannot attend, but please accept my contribution of	$0.00		$0.00

Total:

$0.00