Jackson Hole Circle

Step 1 - Contact Information
Please complete the form below to register for the event. The bold fields denote required information


Title:
First Name:
Middle Name:
Last Name:
Organization/Company:
Address:
City:
State:
Zip/Postal Code:
Email:
Daytime Phone:
Name(s) to appear
on all acknowledgement
materials:

Step 2 - Registration Information

The General Program is open to the public and free to attend. Please indicate the number of seats and the full names and contact information of your guests, if applicable, into the guest list text box at the end of this section.

PLEASE NOTE: Tickets for the General Program will be distributed at the door beginning at 6:00 pm on the evening of the event.

For those also attending the Closing Reception, please indicate the number of tickets and the full names and contact information of your guests, if applicable, into the guest list text box at the end of this section.

Refugees International does not accept government or United Nations funding, allowing our advocacy to be fearless and independent. We rely solely upon individuals, foundations, and corporations in order to continue our lifesaving work.

If you would like to support the lifesaving work of Refugees International, but do not plan on attending, please select "I/we cannot attend" at the end of this section, and then enter your donation amount under "Payment Information." Donations are fully tax-deductible.



For more information, please contact Ellie Stamatopoulos at +1 202-828-0110 ext. 227 or ellie@refugeesinternational.org.


Please enter your donation amount $
Your contribution will be fully tax-deductible.

Please enter the full name, address, and email of all guests who will be attending.
Step 3 - Billing Information
Billing information must match your credit card as filed with your financial institution.

  Same as Contact Information

Enter address, city, state and postal code
as filed with your financial institution.


Step 4 - Payment Information

Total Amount: $
Card Type:
Card Number:
CVV2: CVV2 information.
Expiration Date: mm/yyyy
 
Step 5 - Comments
Please feel free to use this area for comments or suggestions.




     

After clicking the submit button, your order will be processed. You will receive a confirmation via e-mail that your order has been processed. You will also receive a letter by mail to serve as your tax receipt.

Refugees International is a 501(c) 3. Your tax receipt will include tax-deductibility information. For info: 202-828-0110.

To guard against fraud, your information is securely encrypted and sent to the financial network for processing. Secure server software (SSL) is used for all of our donation transactions. If you are still not confident about donating with a credit card online, give us a call at 1-800-REFUGEE and we will process your credit card donation. You can also print out this form and send it in the mail.


If you have questions or concerns about our privacy and security processes, we encourage you to contact us at (202) 828-0110 or ri@refintl.org.