Barber Ball Reservations

I would like at $100.00 each = $0

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Discount: $0.00

Please complete with attendee's information

First Name: *

Last Name: *

Is this purchase being made with a company credit card?: *

Yes
No

If yes, please provide name of company:

If no, please provide name on personal credit card:

Address: *

City: *

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Seating Arrangement

Reserved seating. Please seat us at the table reserved in the name of:

We do not have a preference but would like reserved seating. Reservations received after Monday, Dec. 1 will only provide the option of open/cocktail seating. We understand that we will be seated at a table with other guests we may not know.

I do not require seating (cocktail tables available).

Please provide the names of all guests, including yourself, below.

For reserved seating, please seat us at the table reserved in the name of:

Guest 1 (Yourself)

Guest 1 First Name:

Guest 1 Last Name:

Guest 2

Guest 2 First Name:

Guest 2 Last Name:

Guest 3

Guest 3 Last Name:

Guest 3 First Name:

Guest 4

Guest 4 First Name:

Guest 4 Last Name:

Guest 5

Guest 5 First Name:

Guest 5 Last Name:

Guest 6

Guest 6 First Name:

Guest 6 Last Name:

Guest 7

Guest 7 First Name:

Guest 7 Last Name:

Guest 8

Guest 8 First Name:

Guest 8 Last Name:

Guest 9

Guest 9 First Name:

Guest 9 Last Name:

Guest 10

Guest 10 First Name:

Guest 10 Last Name:

How do you want to confirm your reservation: *

Tickets are not issued. Please indicate how you would like to receive confirmation of your reservation and seating. Confirmations will be sent within 5 business days of submission.

Mail
Email

In addition, I would like to help make dreams come true for children and adults with disabilities by making my tax-deductible contribution

Barber Ball - Benefactor $500.00

Barber Ball - Patron $300.00

Barber Ball - Supporter $200.00

Barber Ball - Friend $100.00

Barber Ball - Other Amount

* Please Note: Donations must be received by Tuesday Nov. 25 to be recognized at the Ball

Donor name should appear as:

Please indicate if this donation is made:

In Honor
In Memory

* Please specify who this gift is in memory or honor of:

Donations must be received by Tuesday Nov. 25 to be recognized at the Ball

Barber Ball Reservations

Please complete with attendee's information

Seating Arrangement

Please provide the names of all guests, including yourself, below.

Guest 1 (Yourself)

Guest 2

Guest 3

Guest 4

Guest 5

Guest 6

Guest 7

Guest 8

Guest 9

Guest 10

In addition, I would like to help make dreams come true for children and adults with disabilities by making my tax-deductible contribution

* Please Note: Donations must be received by Tuesday Nov. 25 to be recognized at the Ball

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Barber Ball Reservations

Please complete with attendee's information

Seating Arrangement

Please provide the names of all guests, including yourself, below.

Guest 1 (Yourself)

Guest 2

Guest 3

Guest 4

Guest 5

Guest 6

Guest 7

Guest 8

Guest 9

Guest 10

In addition, I would like to help make dreams come true for children and adults with disabilities by making my tax-deductible contribution

* Please Note: Donations must be received by Tuesday Nov. 25 to be recognized at the Ball

Latest News

Barber National Institute Offers Tips for a Not-So-Spooky Halloween

All About Autism Blog: My Thoughts on President's Trump's Announcement

Carnegie Foundry Launches Thryve Labs with The Barber National Institute and National Investors

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