Spring Benefit Registration Join us for our Spring Benefit on Thursday May 18, 2023! 6:30pm Gathering | 7:00pm Dinner & Program Campion Hall• 914 E. Jefferson St. • Seattle, WA 98122 Parking provided. Carpooling encouraged. RSVP by May 4th All * designated fields are required. Name* First Last Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone Created using the Donation Thermometer plugin https://wordpress.org/plugins/donation-thermometer/.$110,000Raised $83,675 towards the $110,000 target.$83,675Raised $83,675 towards the $110,000 target.76%Reservation Options* Yes, I will attend IPJC's Spring Benefit I would like to host a table of 8 for $800 I would like to be a sponsor I am unable to attend but would like to make a donation Sponsorship LevelChoose a LevelJustSpiritedInspiredAudaciousI would like to Sponsor/Host/donate in the name of a courageous woman Your Meal Preference*Indicate your choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Host table of 8 Price: I have been invited to the table of Number of reservations at $100 eachChoose one12345678Guest #1 Full Name Guest #1 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #2 Full Name Guest #2 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #3 Full Name Guest #3 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #4 Full Name Guest #4 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #5 Full Name Guest #5 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #6 Full Name Guest #6 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #7 Full Name Guest #7 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #8 Full Name Guest #8 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #9 Full Name Guest #9 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #10 Full Name Guest #10 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #11 Full Name Guest #11 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #12 Full Name Guest #12 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #13 Full Name Guest #13 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #14 Full Name Guest #14 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)Guest #15 Full Name Guest #15 Meal PreferenceIndicate your guest's choiceHerb-Crusted ChickenCauliflower Steak with Harissa Tahini Sauce (vegan)I would like to donate Total $0.00 Preferred Method of Payment* Mail in Check (payable to IPJC) Credit/Debit/PayPal My host is paying for my reservation NOTE: Choosing the payment option Credit/Debit/PayPal will reroute you to the PayPal payment page when you submit the form. Click on the white button to pay using credit/debit card or the yellow button to use your PayPal account. If you are mailing in a check or your host is paying for your seat, you are done. If you do not receive a confirmation message immediately after submitting the form, your registration did not go through. For further assistance, call (206) 223-1138 Weekdays 8:30am to 5pm Just Price: Spirited Price: Inspired Price: Audacious Price:
