Tickets	Price
Early Bird Dinner - until September 30 Dinner, Beverages, $100 Tax Deductible	$250.00

SPONSOR the event and/or advertise your business! CLICK "1" on the Drop-down to the right and decide which level works for you. Thanks!	$1,000.00-$10,000.00

Total: $0.00

Everyone is at tables for 10 guests. Please try to seat me with:

Would you like to make an additional impact?

Donation Amount

Registration Total

$0.00

Enter your details here

Name (and business if sponsoring)

Address

Phone Number

Paying by check? Don't complete this form!

Please send us the names and dinner choices of you and your guests.

Also send us the names of the people you'd like to be seated with.

Send your check and the above information to:

JCS of Hawaii

PO Box 235805

Honolulu, HI 96823

Name

Credit Card

Address