2023 Workers' Compensation Law Institute Dinner & Silent Auction

Join us on Thursday, October 5 from 6:00 pm to 10:00 at Sea Palms Resort for the 2023 Workers’ Compensation Law Institute Dinner & Silent Auction benefiting Kids’ Chance of Georgia! This is a resort casual event with dinner, drinks, raffle and a silent auction.

* Required information

Personal Information

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
* Cell Phone:

Fee

Type	Fee
Dinner Ticket	$115.00
State Board Employee Dinner Ticket	$100.00

Business Information

* Company:

Guest Information

You may add a maximum of 20

Raffle Tickets

Item Qty. Max Limit Price

Item	Qty.	Max Limit	Price
Raffle Ticket		3	$30.00 each
Raffle Tickets - Set of 4		94	$100.00 each

Raffle Ticket

$30.00 each

Raffle Tickets - Set of 4

$100.00 each

Payment

Payment Method

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Pay By Check
Please make check payable to:
Kids' Chance of Georgia, Inc.
P.O. Box 922381
Norcross, GA 30010

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