Registration

 Ambassadors for Drug-Free Youth

 

November 9, 2017     |    6:00-9:00pm 

 

Meridian House | 1630 Crescent Place, N.W. | Washington, D.C. 20009

Tickets

Quantity
Price
Total
Individual Ticket

Per Person

X
$
150.00=
$
0

Advocate Ticket

Listing in Program Journal

X
$
250.00=
$
0

Benefactor Ticket

Listing in Program Journal

X
$
500.00=
$
0

Patron Ticket

Listing in Program Journal

X
$
1,000.00=
$
0

Final Total:
$
0

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments