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ARCS Illinois 45th Anniversary Dinner Celebration
Please join us at the ARCS Foundation Illinois Chapter's 45th Anniversary Celebration Dinner!
How many people are you registering?
*
1
2
3
4
5
6
7
8
9
10
(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Continue".
Event Guest
First Name
*
Last Name
*
Email
Anniversary Celebration Dinner Registration Fee
Registration Fee
*
Member Registeration
-
$ 175.00
Guest Registration
-
$ 175.00
Scholar Registration
-
$ 100.00
Sponsor/purchase a table of 8 seats
-
$ 1,400.00
AAC Speaker
-
$ 0.00
Dinner Selection
*
Beef Entree
Salmon Entree
Vegetarian Entree
Restricted Diet
Credit Card Processing Fee
Total for this participant
Payment Options
Payment Method
Credit card payment to ARCS Illinois
I will send payment by check.
Credit Card
Card Type
- select -
Visa
MasterCard
Amex
Discover
Card Number
*
Security Code
*
Expiration Date
*
-month-
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-year-
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Billing Name and Address
Billing First Name
*
Billing Middle Name
Billing Last Name
*
Street Address
*
City
*
Country
*
- select -
United States
State/Province
*
- none -
Alabama
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American Samoa
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Utah
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Postal Code
*
Any Additional Information
Please let us know any other information that can help us make this event wonderful for you. For example, would you prefer a vegetarian meal? Who would you like to be seated with? Will you be using a wheelchair?
Any Additional Information