2. 
4. Attention!!!
   * Creating an account is not required to proceed to register!
6. Name*
7. Email
9. Other Email
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*

21. INDIVIDUAL TICKET

23. Individual Ticket
    Admit
24. Price
25. Quantity
26. Shipping Cost
28. Entree Selection.*
    -- Select One --Chicken BreastVegetarian Entree
29. Entree Selection (2nd Guest)
    -- Select One --Chicken BreastVegetarian Entree
31. Entree Selection (3rd Guest)
    -- Select One --Chicken BreastVegetarian Entree
32. Entree Selection (4th Guest)
    -- Select One --Chicken BreastVegetarian Entree

36. Please Note: For guests over four (4), please forward entree selection to lpable@waukegantownship.com

40. SPONSORSHIP LEVELS

42. GALA SPONSOR - $5,000
    • One VIP Table (8 tickets)
    • Video Address at the Event
    • Back Cover Page Program Ad
    • Prominent Listing In All Event Advertising
    • Company Logo On Event Banners
43. COCKTAIL HOUR SPONSOR - $3,500
    • Four Event Tickets
    • One Page Program Ad
    • Company Logo On Cocktail Banner and Event Banners
    • Prominent Listing In All Event Advertising
44. DINNER SPONSOR - $2,000
    • One VIP Table (8 tickets)
    • Half Page Program Ad
    • Logo On Welcome Banner
    • Listing In All Event Advertising
46. GOLD SPONSOR - $1,000
    • Four Event Tickets
    • Half Page Program Ad
    • Company Logo On Event Banners
47. ENTERTAINMENT SPONSOR - $500
    • Two Event Tickets
    • Company Logo On Event Banners
49. Sponsor Level
    Gala
50. Price
51. Quantity
52. Shipping Cost
54. Sponsor Level
    Cocktail Hour
55. Price
56. Quantity
57. Shipping Cost
59. Sponsor Level
    Dinner
60. Price
61. Quantity
62. Shipping Cost
64. Sponsor Level
    Gold
65. Price
66. Quantity
67. Shipping Cost
69. Sponsor Level
    Entertainment
70. Price
71. Quantity
72. Shipping Cost

76. DONATIONS ACCEPTED 

77. We gratefully accept contributions of any size for Staben House

79. Donation
    Amount
80. Quantity
81. Amount
82. Shipping Cost

86. PAYMENT METHODS

87. Payments are accepted online or over the phone (847) 244-4900 via credit card, by mail or in person at the Waukegan Township Supervisor's Office, 149 S. Genesee, Waukegan, Il

91. PAYMENT PROCESSING

92. You will be redirected to PayPal for payment processing.

    A PayPal account is not required. For non PayPal accounts, please scroll to bottom of the PayPal header page to make a general payment 

    Make payment with major credit card.

    Waukegan Township will add your payment to the list of Paid Attendees.

94. Taxable
95. Taxable
96. Taxable
97. Taxable
99. Taxable
100. Taxable
101. Taxable
Leave This Blank:


102. Calculate Totals Proceed to Checkout

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