Contact Information

Country*
Email*
Confirm Email*
Phone*

Pick your Dinner Experience

Quantity
Price
Total
Title Sponsor

(Benefits include 10-top table)

X
$
10,000.00=
$
0

Distinguished Sponsor

(Benefits include 10-top table)

X
$
5,000.00=
$
0

Contributing Patron

(Benefits include 8-top table)

X
$
3,000.00=
$
0

Supporting Patron

(Benefits include 8-top table)

X
$
2,000.00=
$
0

Speaker Sponsor

(Benefits include 8-top table)

X
$
1,500.00=
$
0

Parking Sponsor
X
$
500.00=
$
0

10-Top Table Sponsor
X
$
1,200.00=
$
0

8-Top Table Sponsor
X
$
900.00=
$
0

Date Night (2 Guests)
X
$
220.00=
$
0

Sponsor a Clergy or Religious
X
$
110.00=
$
0

Individual Plate
X
$
110.00=
$
0

Student Plate
X
$
35.00=
$
0

Student Sponsorship
X
$
35.00=
$
0

Final Total:
$
0

For special dietary needs, please contact Marlene at (402) 540-7539.

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.

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