The Dred Scott Freedom Awards Dinner
PLEASE COMPLETE YOUR "DE-REGISTRATION" BY COMPLETING AND SUBMITTING THIS FORM.
Note that The Dred Scott Heritage Foundation will be grateful for donations made to help offset financial liabilities the Foundation may incur due to the necessity of cancelling this dinner.
For assistance please contact us at 618-593-7196
Please tell us how you would like us to handle your refund (CHOOSE ONE):
Convert my full registration amount to a donation to The Dred Scott Heritage Foundation (a donation receipt will be provided).
Refund the full registration amount by original payment method
Refund the full registration amount by check
I will note below or call to discuss other arrangements (partial refund/partial donation, etc.)
Address for refund check if applicable
Send me a copy of my responses.
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