Celebrating Life Dinner Registration

Firm registration deadline is February 27, 2017.

 $25.00 per person/$200.00 per table of eight (Due to the age appropriate subject matter at this event, we kindly request no children under age 12.)

To pay with credit/debit card online use donate now -please add in special instructions: Celebrating Life Dinner Registration

Checks payable to RETA, 300 W. High St. Elkhart, IN 46516 

Guest Name 1 *
Guest Name 1
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Phone
Guest Name 2
Guest Name 2
Guest Name 3
Guest Name 3
Guest Name 4
Guest Name 4
Guest Name 5
Guest Name 5
Guest Name 6
Guest Name 6
Guest Name 7
Guest Name 7
Guest Name 8
Guest Name 8
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