Right to Life of Michigan
About
Media
Respect Life Registration
"
*
" indicates required fields
Reservation Details
Name
*
First
Last
Company
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Email
*
Phone
*
Council Number:
Knights of Columbus members, please provide your council number.
Reservation Type
Tickets ($65 each)
0
1
2
3
4
5
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8
9
Tables ($595 each/includes 10 Tickets)
0
1
2
3
4
5
Please list names of all guests attending (or as many as possible)
Sponsorship Level
$20,000 Rhodium (80 tickets or 8 tables included)
$10,000 Palladium (40 tickets or 4 tables included)
$5,000 Platinum (20 tickets or 2 tables included)
$2,500 Gold (10 tickets or 1 table included)
$1,000 Silver (4 tickets included)
$500 Bronze (2 tickets included)
$250 Iron (no tickets included)
No sponsorship at this time
Untitled
Check this box for a 100% tax-deductible sponsorship with no tickets included.
Please list my/our name(s) in the event program as:
Donation
Donation:
Please consider an additional donation to the Right to Life of Michigan Educational Fund (tax-deductible).
Click here
to make a donation to Right to Life of Michigan (not tax-deductible).
Payment
Total
Credit Card
Billing Address
Billing Address is same as Donor Address
Billing Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
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