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2022 Dinner Registration

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  Thank you for registering for our 2022 Annual Dinner.
  
  Please fill out the information below. You will receive an email with further instructions once you've submitted payment.
  
  If you are buying a couples' or table-of-10 ticket, guest names are NOT required at this time. In the confirmation email, instructions for submitting those names will be included. Use Promo Code RADIO for an extra bonus.
  
  The deadline for registration is September 27.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
  
  Parish Please enter valid data.
  
  Promo Code Please enter valid data.
  
  Ticket Levels 75.0 – Single Ticket 140.0 – Couples' Ticket 650.0 – Table of Ten
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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