Courageous Chai Level

4 tickets ~~and a Full Page Ad with a Silver Border in the Ad Journal~~

While our ticket registrations are still open, our Ad Journal deadline has passed, and we are unable to offer this benefit.

First Name

Last Name

Email Address

Registrant Phone Number

Attendee #1 First Name

Attendee #1 Last Name

Attendee #2 First Name

Attendee #2 Last Name

Attendee #3 First Name

Attendee #3 Last Name

Attendee #4 First Name

Attendee #4 Last Name

Please seat me/us with the following people (10 people per table limit):