2018 Power of Women Luncheon Registration Form

Event Co-Chairs
Dana Gordon & Jacki Parmacek

Individual tickets $200

Consider sponsoring a table at one of these levels: 
$1,800
$3,000
$5,000
$10,000
 
Donate to Joint Action Committee 
$250
$500
$1,000
$2,500
Other
 
Please fill in your contribution amount below in the box provided.

Please note any special dietary needs below. 

If you are a guest, please note your host in the special instructions box below, and select 'Guest' as payment method.

If you are hosting guests, please note their name(s) in the special instructions box below.

Questions? Call the JAC office at 847.433.5999

 

Date: 
Monday, June 11, 2018 - 11:00am to 1:30pm
Location: 
Bryn Mawr Country Club
6600 North Crawford Avenue
Lincolnwood, IL 60712
Title
First *
Middle
Last *
Home Address
$
If making a donation in honor of a person, please note their name here.
Please note seating requests and/or any special dietary considerations. If you are a guest, note your host here.
Address
Payment Form
/
Stores the status of the registration.
Select the source of the registration.
Stores the total amount paid for the registration.
Registration Date
Stores the actual date an event registration was received.
E.g., 06/21/2018
E.g., 03:30am
Refers to the event being registered for.

Registration, gifts or other payments to Joint Action committee (JAC) are not deductible as charitable contributions for federal income tax purposes.

Refunds are not available after 30 days.

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