Justice Speaks 2019

Fields marked * are required.

Table of Ten

Includes seating for ten guests. $500 may be considered tax deductible.

Table of Ten at $1,250

Table of Ten Total $

Attendees

Table 1: Guest 1 Name*

Table 1: Guest 2 Name*

Table 1: Guest 3 Name*

Table 1: Guest 4 Name*

Table 1: Guest 5 Name*

Table 1: Guest 6 Name*

Table 1: Guest 7 Name*

Table 1: Guest 8 Name*

Table 1: Guest 9 Name*

Table 1: Guest 10 Name*

Table 2: Guest 1 Name*

Table 2: Guest 2 Name*

Table 2: Guest 3 Name*

Table 2: Guest 4 Name*

Table 2: Guest 5 Name*

Table 2: Guest 6 Name*

Table 2: Guest 7 Name*

Table 2: Guest 8 Name*

Table 2: Guest 9 Name*

Table 2: Guest 10 Name*

Tickets

Tickets are $125 each. $50 of each ticket may be considered tax deductible.

Number of Tickets

Tickets Total $

Attendees

Guest Name 1*

Guest Name 2*

Guest Name 3*

Guest Name 4*

Guest Name 5*

Guest Name 6*

Guest Name 7*

Guest Name 8*

Guest Name 9*

Guest Name 10*

Additional Donation

Donation Amount $

Payment

Transaction Total $

Name on Credit Card*

First Name

Last Name

Company

Phone*

Email*

Credit Card*

Address Registered with Credit Card*

Address Line 1

Address Line 2

City

State

ZIP Code

Table of Ten

Attendees

Tickets

Attendees

Additional Donation

Payment

Comments and Special Requests