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Registration for Progressive Dinner Event
For questions and further information, please call or text Annie Vander Werff at 641-780-0993.
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Last Name
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First Name
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Address
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Address 2
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City
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State
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Zip
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Ticket Purchase
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Individual Ticket: $45 ea
Couples Ticket: $80
Table Purchase (6): $250
Cultural Cocktail Flight: $10
Cultural Dessert Flight: $10
Other: If you will purchase more than one of the above, please explain below.
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Will you purchase more than 1 of the tickets selected above? (Check all that apply)
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Please explain: Include names of additional guests
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Total Amount Due
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Please select payment option:
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Pay online: Community Foundation of Northeast Iowa at
https://www.cfneia.org/giving/give-today?fund=897
Pay by check: Mail to PO Box 118, Waterloo, IA 50701 (checks payable to CFNEIA)
Pay by Rotary Invoice: Quarterly Dues will be billed
Thank you for registering! We look forward to seeing you at the Progressive Cultural Dinner Event for some FUN.
No tickets necessary, we will have your name at the door.
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