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Home > Events > PAC Events > Progressive Dinner Registration
PAC Progressive Dinner Registration

Contact Information: (*required)

*Name:

*Company:

Address:

City:

   State:

Zip:

*Phone:

  

*Email:
I want to reserve  ticket(s) for:

*Attendees Names:

Cost: $125 per person

 

Credit Card Information:

 Card Type:

 Name on Card:

 Card Number:

 Expiration Date:

  /

                    

 

When paying by check:
Please make payable and mail to the Michigan Restaurant Association Political Action Committee, 225 W. Washtenaw, Lansing, MI 48933; include this registration form.

Please note that according to State and Federal Law the MRA PAC cannot accept Corporate contributions. Acceptable forms of giving are personal, sole-proprietorship, partnership and LLC.
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