39th Crystal Eagle Awards and Scholarship Dinner

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• * City:
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• * ZIP Code:
• Phone:
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• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  Dinner for 1 Guest	$150.00
  1 Table (Seats 8 Guests)	$1,200.00
  Add an Additional Guest to your Table of 8!	No Charge

Guests

You may add a maximum of 7

Badge Information

• * Badge Name: