Dispute Resolution Center of West Michigan Annual Fundraiser Event
Sponsorship/Tickets
Email address *
Event Date and Time: Saturday, November 10, 7 PM to 11 PM Venue: Aisle Nine - 1747 Plainfield Ave. NE, Grand Rapids, MI 49505
Please indicate your sponsorship level: *
Required
I am unable to sponsor or attend, but please accept my donation of $______. Please type in the amount below.
Your answer
All sponsorships come with tickets. If you cannot attend and would like to donate your tickets back, please respond below:
Your answer
Payment Method: *
Name you want to appear in promotional materials:
Your answer
Contact person: *
Your answer
Address:
Your answer
City/State/Zip:
Your answer
Phone (Work/Cell/Home):
Your answer
Credit Card #:
Your answer
Exp. Date:
Your answer
Credit Card Type
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms