Dispute Resolution Center of West Michigan Annual Fundraiser Event
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: *
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
Your answer
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.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms