#StrongerTogether GOTV Fundraiser

Event Date:
Event Location:
Address:


 
Wednesday, August 24, 2016 Time: 6:30 PM
Grille 401
401 E Las Olas Blvd
Ft. Lauderdale, FL 33301
 
Contact Information
Employer Information

This information is required by law.

If you are self-employed, please list the name of the entity that is on your paycheck. Please list your line of work. "Business Person" is not acceptable, please enter the type of business instead.

We respectfully request that Partners of Partnerships and Members of LLC's contribute individually, instead of through their respective business entity.

Ticket & Guest Information
Ticket Level Pricing Set Default Value
Co-Host $50.00
General Admission $25.00
Host $100.00
To make an additional contribution please enter amount here
TOTAL: $0 QTY: $0
Guest Names Ticket Level
Payment Information
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