25th Annual Celebrate Life Banquet & Gala
 Monday, November 8, 2010 from 6:00 - 9:00 pm at the Baton Rouge Crowne Plaza

If you would like to register for individual tickets, fill out the form below.

Yes, I will sign-up for a Champion Ticket - $500
Yes, I will sign-up for a Guardian Ticket - $250
Yes, I will sign-up for a Defender Ticket - $125
Yes, I will sign-up for a Protector Ticket - $90

Table Choice
Click here to view the tables currently available. (This will open a new window)
Please enter your top 3 table choices below:
 Table choices are given out on a first come first served basis.

   
    Table Choice #1
    Table Choice #2
    Table Choice #3

* Please only put one Guest per block and fill out as many tickets as you want to sit together with. If you want to sit with other Guests that have already registered, please call Rachel at 215-0001 or email her at events@ctlm.org

       
  Ticket 1
  Name:  
  Address:  
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  List individual in program?  (For Champion Ticket Levels) Yes   No  
   
  Ticket 2
  Name:  
  Address:  
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  List individual in program?  (For Champion Ticket Levels) Yes   No
       
  Ticket 3
  Name:  
  Address:  
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  List individual in program?  (For Champion Ticket Levels) Yes   No
   
  Ticket 4
  Name:  
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  List individual in program?  (For Champion Ticket Levels) Yes   No
       
  Ticket 5
  Name:  
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  List individual in program?  (For Champion Ticket Levels) Yes   No
   
  Ticket 6
  Name:  
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  List individual in program?  (For Champion Ticket Levels) Yes   No
       
  Ticket 7
  Name:  
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  List individual in program?  (For Champion Ticket Levels) Yes   No
   
  Ticket 8
  Name:  
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  List individual in program?  (For Champion Ticket Levels) Yes   No
       
  Ticket 9
  Name:  
  Address:  
  City:  
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  Phone:  
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  List individual in program?  (For Champion Ticket Levels) Yes   No
       
  Ticket 10
  Name:  
  Address:  
  City:  
  State:  
  Zip:  
  Phone:  
  Email:  
  List individual in program?  (For Champion Ticket Levels) Yes   No
       

By clicking the "Submit Sponsorship Information" button below, you are agreeing to be a sponsor of the Celebrate Life 2010 Banquet.  The above information will be sent to Caring To Love Ministries.
  
 Please mail your payment to:
Caring To Love Ministries
3813 N. Flannery Rd.
Baton Rouge, Louisiana 70814

Please note: If we do not receive your payment by October 30th, your table will become open seating. Payments can be made by cash, credit card or check.

 

 

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