Equality Weekend Registration

First Name:

 Last Name:
How would you like this to appear on a nametag (if different)?
Address:
City:
State:
 Zip:
Phone:
- -
Email Address:
Welcoming Reception Tickets:
@ $25 each
Names of Welcoming Reception Attendees: (Separate names with commas)
Educational Seminars:
(NO CHARGE, but registration is required)
Names of Educational Seminars Attendees: (Separate names with commas)
Seats at the Alabama Equality Weekend Gala:
@ $75 each)
Names of Gala Attendees: (Separate names with commas)
Tables for ten at the Alabama Equality Weekend Gala
@ $650 each (Price goes to $750 on September 8)
Names of Gala Attendees: (Separate names with commas)
Tickets to Sunday Brunch with Entertainment
@ $ 35 each
Sunday Brunch Attendees: (Separate names with commas)
Equality Weekend Tickets
@ $ 125 (includes Welcoming Reception, Gala, Sunday Brunch)
Names of Equality Weekend Attendees: (Separate names with commas)
I would like to give Student Scholarships to the Gala
@ $70 each
I would like to become a member of Equality Alabama for $50
I would like to make a tax-deductible donation to Equality Alabama
$
Please have someone contact me about advertising in the gala program

Equal Rights. Nothing more... nothing less.

Our Sponsors

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