RSVP for H.T.A Century Club Dinner

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Please fill out the following form to reserve your tickets for the Century Club Dinner.

PLEASE CLICK SUBMIT AT THE END, OR WE WILL NOT RECEIVE YOUR RSVP.

First and Last Name *

If you intend to purchase a table for your business, please include your business name here.

Email Address *

Phone Number *

Please provide a phone where we are most likely to reach you if needed.

Number of Attendees in your party *

Dietary Restrictions (for you or your party) *

None

Vegetarian

Vegan

Allergies (please specify in "Other")

Other:

Required

How would you like to pay? *

Online - PayPal or Credit Card

Check or Cash

I already made a donation that includes tickets.

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