Dinner Ticket Form

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Dinner Ticket Form

This form is for those who will be attending the dinner ONLY. Dinner RSVP's must be requested by Monday, August 14th so we can provide a final count to the venue. We look forward to seeing you at 5:00PM after the outing!

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* Indicates required question

To donate:

Go to: www.myiu.org/one-time-gift
Click into "Search all funds"
Type in & select "Ted Kitchel Parkinson's Disease Research Fund"
Fill out donation information.

OR bring check or cash the evening of the event.

Please also fill out the short form below. Thank you!

Name *

Your answer

Email *

Your answer

Please select the number of people who will be attending dinner with you. *

1

2

3

4

5

6

Other:

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