39th Annual Valentine's Day Fundraiser

Event Date:
Event Location:
Address:

 
Friday, February 22, 2019 Time: 6:00 PM
NC State University Club
4200 Hillsborough Street
Raleigh, NC 27606
 
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
Individual $45.00
Student $25.00
To make an additional contribution please enter amount here
TOTAL: $0 QTY: $0
Guest Names Ticket Level
Payment Information
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