A Taste of Hope 2009
On Line Registration Form
*
Name
*
Address
Apartment
*
City
*
State
*
ZIP
Phone
*
Email Address
*
Total Due
$50.00 - One Ticket
$100.00 - 2 Tickets
$150.00 - 3 Tickets
$200.00 - 4 Tickets
$250.00 - 5 Tickets
If you are purchasing tickets for other Guests, please list their names below. Thank you.
Guest 2
Guest 3
Guest 4
Guest 5
When you click on the Submit button at the bottom of the page, you will
be taken to a Confirmation page with a link to PayPal to make your payment. Please make sure you enter the dollar amount above on the PayPal site.
* - Required fields
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