2010 Annual Fundraiser signup form

The Hi-Liners Annual Gala
Dinner and Silent Auction!

Step 1

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For event tickets, please fill out the form below.

Fields marked with a * are required.

*First & Last Name	*Number of event tickets
*Street Address	*City/St/Zip
*Email	*Phone #
Guest 1 Name	Guest 2 Name
Guest 3 Name	Guest 4 Name
Guest 5 Name	Guest 6 Name
Guest 7 Name	Guest 8 Name

Do have have an item that you'd like to donate towards our silent auction? If so, please list item here and someone will contact you to make arrangements for pick-up.

** Please note: Clicking this button
will take you to a confirmation page where you can
review this initial registration information. Please
scroll all the way down this confirmation page and click
the link at the bottom to proceed to step 2.