DJ's Hero Awards Luncheon

Fields with an asterisk (*) are required:
*First Name:
*Last Name:
Business:
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*Number of reservations required (Cost is $85 per person):
Request a table (10 seats for $850):
Number of tables requested:
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I will not be able to attend, but would like to make a contribution of:
For information on sponsorship levels please call 402-898-5906
Please remember your reservation will not be processed until payment is received.