Annual Celebration Registration Form

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CHAPA's 59th Annual Dinner

Ticket Options

Ticket	Price	Quantity
Sponsor Early Bird ($5,500) - 10 tickets to the Dinner with preferred seating - Logo recognition in Dinner program & presentation - This price is through April 3, 2026.	$5,500.00
Supporter Early Bird ($3,000) - 10 tickets to the Dinner - Acknowledgment as a Supporter in Dinner program & presentation - This price is through April 3, 2026.	$3,000.00
Contributor Early Bird ($1,500) - 5 tickets to the Dinner - Acknowledgment as a Contributor in Dinner program & presentation - This price is through April 3, 2026.	$1,500.00
Individual Tickets (Early Bird Rate - $275) The early bird rate is $275 per person if we receive your registration or pledge by April 3, 2026. Note: Individual seats are at tables designated for open seating; we cannot guarantee that organizations that buy individual seats will be seated togethe	$275.00

Registration Information

Please fill out your contact information if you are purchasing individual tickets or sponsoring the Dinner as an individual.

If you are registering an organization, particularly an organization that is sponsoring the Dinner, please click on the "Register as an Organization" registration link in the upper right-hand corner of this page.

First Name: Last Name: Company (Please note this is what will be printed on the attendee's nametag): Billing Address: City: State: Zip Code: - Email: Phone:

Include myself as an attendee:

Would you like to donate any of your seats?
If so, please indicate how many. Relation of Registrant to Attendees:

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