You may register up to four guests at a time on this form.
Thursday, September 28, 20177:00 - 10:00 pmFitzgerald's Nightclub6615 Roosevelt Rd. in Berwyn
Buy your ticket at the Challenge Level and our Challenge Donor will match your donation!
Entries are $10 each or 3 for $20.
Or, calculate the total you owe and click here to go to our PayPal page to make a secure payment online:
https://www.paypal.com/cgi-bin/webscr?cmd=_donations&business=dweindling%40fartherfoundation%2eorg&item_name=Farther%20Foundation%20Donation&no_shipping=1&return=http%3a%2f%2fwww%2efartherfoundation%2eorg&cancel_return=http%3a%2f%2fwww%2efartherfoundation%2eorg&cn=Optional%20Note&tax=0¤cy_code=USD&lc=US&bn=PP%2dDonationsBF&charset=UTF%2d8. Then please remember to return to this form and click the submit button below so that we have your names and contact information for our event guest list.