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1
Registration Details
2
Payment Details
This is a General Admission ticket to the RISE Memorial Event ONLY.
This is an individual ticket that includes General Admission to the Rise Memorial Event and the Reception.
Table Sponsor Level
*
RISE | $25.00
RISE | $25.00
Patriot | $150.00
Donate
How many Patriot tickets would you like?
*
1 - $ 150.00
If purchasing more than one ticket, please list your guest's names below.
How many RISE tickets would you like?
*
1 - $ 25.00
2 - $ 50.00
3 - $ 75.00
4 - $ 100.00
5 - $ 125.00
6 - $ 150.00
7 - $ 175.00
8 - $ 200.00
9 - $ 225.00
10 - $ 250.00
If purchasing more than one ticket, please list your guest's names below.
Name
*
First
Last
Email
*
Phone
*
Company
Guest Names
Please list indivdual names of those joining you at your table. If you do not know at this time, Jo Brower will follow up via email.
Please select the amount you wish to donate:
*
$50.00
$100.00
$500.00
Other
Donation Amount
*
Please enter the amount you wish to give.
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Payment Details
*
Card
Name on Card
Fees - 25
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Fees - 50
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Fees - 75
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Fees - 100
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Fees - 125
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Fees - 150
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Fees - 175
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Fees - 200
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Fees - 225
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Fees - 250
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Patriot Fees - 150
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Donation Fees - 500
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Donation Fees - other
*
Make the most of your donation by helping RHS cover the transaction fees!
I wish to not assist with the fees.
Total
$ 0.00
How Did You Hear About RHS?
How Did You Hear About RHS?
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Registration for Patriot Day Memorial Event
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