2019 CCDI Trivia Night Fundraiser
Event Date: Friday, November 1, 2019
Doors Open: 7:00 pm -- Event Begins: 7:30 pm
Event Address: St. Ann Community Center, 1 Community Center Drive, St Ann, MO 63074

Contact for Additional Information:
Christine Fallon at fallonc@concretestrategies.com
Rachel Boemer at rachelboemer@ccdi.org

**Please Note: The music is NOT Halloween themed music**
Team Captains Name (first and last) *
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Email *
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Cell Phone Number *
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Team Name (if undecided, leave blank & your team name will be your captain's name)
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Payment can be made (in full) via:
Optional: Are you interested in being an event sponsor?
Optional: Are you interested in donating a raffle basket item? (promotional company/business logo baskets, tickets to an event, gift cards, etc)
Optional: Would you like to make an additional monetary donation to CCDI? (If yes, please list amount below)
Your answer
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