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Benefit for Life Registration
Donor Information
Name
*
First
Last
Company
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
E-mail
*
Phone
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Reservation Details
Tickets ($125 each)
0
1
2
3
4
5
6
7
Tables ($950 each / includes 8 Tickets)
0
1
2
3
4
Be an Event Sponsor
*
$20,000 Guardian of Life (includes 10 tickets)
$10,000 Protector of Life (includes 8 tickets)
$5,000 Defender of Life (includes 6 tickets)
$2,500 Preserver of Life (includes 4 tickets)
$1,000 Advocate of Life (includes 2 tickets)
$500 Supporter of Life (no tickets included)
No sponsorship at this time
Please list my/our name(s) in the event program as:
Unable to attend?
I/We are not able to attend, however, please accept my contribution
Your Donation
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Total
$0.00
Credit Card
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Card Details
Cardholder Name
Billing Address
Billing Address is same as Donor Address
Billing Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
The amount of your contribution over $95 per ticket is tax-deductible as a charitable contribution per IRS regulation.
Get Involved
Volunteer
Elections
Affiliates
MiGen Leads
Membership
Events
Careers
Find Help
Pregnancy Help
TeenBreaks
Power of Attorney
Clinic Complaint
Post-Abortion
Abortion Pill Reversal
Resources
Educational Materials
Faith
School/Teacher
Multicultural
Legislation
Legal Challenges
LifeBeat Podcast
About Us
About Us
Our Team
Our History
Annual Report
Contact
Store