DBDHF's Medium Event: An Evening with Angels Registration Form
Email address *
Friday, September 13, 2019 - 7:00pm to 11:00pm
Ria Mar Restaurant & Bar
25 Whitehead Ave, South River, NJ 08882

Full buffet dinner w/dessert and cash bar
$75 per person ($2.55 fee added if purchased through paypal)

All proceeds go towards assisting families battling cancer!

Please note as of Monday, March 5th payments must be received via PayPal or Venmo (@DBDHF). Please email Medium@dbdhf.org if there are any questions.

Visit www.dbdhf.org to purchase tickets through paypal

First Name *
Your answer
Last Name *
Your answer
How will you be paying for your ticket(s)? (payment must be received within 1 week of registering to secure your seat) *
If you would like to be seated with individuals who also registered for the event & purchased tickets, please provide their first and last names.
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