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Great Conversations Response Form

Please complete the form below. Required fields marked *

Thank you for purchasing a ticket(s) or a table for the Thursday, April 12th Great Conversations fundraiser. Please fill out the information that you have not already shared with us.

Contact Information

First Name*

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Last Name*

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Who are your Top 5 Conversationalists? Please select in order of preference.

If you are bringing a guest, please fill out the information below. We will send information about the event to the person who purchased the table or group tickets.

Guest Full Name

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If you purchased a table, please list the names of your guests:

Guest 3

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Guest 4

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Guest 5

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Guest 6

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Guest 7

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Guest 8

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If you have any comments or would like us to call you, please make note in the box below:

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Confirmation Email

Confirmation Email *

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