EWB Growing Through Change 2022

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Growing Through Change

14th Annual Gala Presented by WWU Engineers Without Borders

Saturday, Jan. 29, 2022
6:30 p.m.

A Virtual Zoom Event
You will be sent a Zoom invitation to the email address you include on this form.

Cost: $30 (includes one door prize drawing entry)

Your First Name*

Last Name*

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Email*

Phone*

Purchase Options

How many people would you like to register for?*

Your registration total* $

Each ticket is $30.

Would you like to purchase additional door prize entries?*

Yes No

$5 per door prize entry.

How many door prize entries would you like to purchase?*

Your door prize entry total* $

Each entry is $5.

Would you like to contribute to Gifts from the Heart?*

Yes No

How much would you like to donate to Gifts from the Heart?*

50 100 250 1000

Other:

Attendee Information

If you are purchasing more than one seat, complete the following fields for each additional attendee you are purchasing a seat for.

First Name

Last Name

Phone

Add another attendee

First Name

Last Name

Phone

Add another attendee

First Name

Last Name

Phone

Add another attendee

First Name

Last Name

Phone

Add another attendee

First Name

Last Name

Phone

Add another attendee

First Name

Last Name

Phone

Add another attendee

First Name

Last Name

Phone

How would you like to purchase your tickets?

Credit / Debit Card Check / Cash

Payment

Please deliver payment to the Engineering Department office by January 24, 2022.

Make checks payable to:

Engineers Without Borders - Walla Walla University

Chan Shun Pavilion, Room 225

204 South College Ave., College Place, WA 99324

If you have questions, please call (509) 527-2765.

Name as it appears on credit card*

Credit Card*

Total Payment $

Account number: 309045-AG1282-71