NoHomelessKids Benefit Luncheon Registration Form

NoHomelessKids Benefit Luncheon Registration

I am registering for the NoHomelessKids Benefit Lunch that will be held at the Bellevue Hilton Hotel on May 13, 2010 from Noon–1pm.
I understand that my contact information will only be used in conjunction with this event.

*required fields

*First Name:

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*Last Name:

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*Email:

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*Phone (please include area code):

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Address:

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City:

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State:

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Zip:

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Organization/Church Affiliation (if applicable):

I would like to be seated with:

Comments (please note if you are a table captain):