2018 Advocacy Awards RSVP/Ticket Sales

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General Information

First Name: *

Last Name: *

Email Address: *

Address: *

Address:

City

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Zip/Postal

Phone Number: *

General Admission

# of Tickets ($50 each): *

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

OK AIM Volunteer

Individuals Coming:

Yes, I am coming. (no charge)

Yes, I am bringing my complementary 1 guest. (no charge)

OK AIM Volunteers are allowed to bring 1 guest at no additional charge.

Additional Guests ($50 each):

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

Award Winners

Individuals Coming:

Yes, I am coming. (no charge)

Yes, I am bringing my complementary 1 guest. (no charge)

Award Winners are allowed to bring 1 guest at no additional charge.

Additional Guests ($50 each):

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

Award Nominees

Individuals Coming:

Yes, I am coming. (no charge)

Yes, I am bringing my complementary 1 guest. (no charge)

Award Nominees are allowed to bring 1 guest at no additional charge.

Additional Guests ($50 each):

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

Award Presenter

Individuals Coming:

Yes, I am coming. (no charge)

Free admission for presenter only.

Additional Guests ($50 each):

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

Tulsa People First Members

Individuals Coming:

Yes, I am coming. (no charge)

Yes, I am bringing my complementary 1 guest. (no charge)

Tulsa People First Members are allowed to bring 1 guest at no additional charge.

Additional Guests ($50 each):

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

TARC Members

Individuals Coming:

Yes, I am coming. (no charge)

Free admission for member only.

Additional Guests ($50 each):

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

Award Winner Nominators

Individuals Coming:

Yes, I am coming. (no charge)

Free admission for nominator only.

Additional Guests ($50 each):

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

Selection Committee Member

Individuals Coming:

Yes, I am coming. (no charge)

Free admission for member only.

Additional Guests ($50 each):

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

Planning Committee Member

Individuals Coming:

Yes, I am coming. (no charge)

Free admission for member only.

Additional Guests ($50 each):

If your party prefers a Vegetarian or Gluten-Free Dinner, please indicate the number required using the fields below.

# of Vegetarian Dinners:

# of Gluten-Free Dinners:

Accommodation of Disability

Do you require any accommodation of disability to attend this event? *

Yes

Please specify what accommodations you require. *

Section

Donation:

Thank you for making it possible for a person with a disability to attend!

Payment Type: *

Total Amount Due: $