Banquet Table Host
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Name
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Email
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This address will receive a confirmation email
Phone
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Address
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Payment
One Table ($300.00)
Mail $300 check (0)
Pay at banquet (0)
One Table ($300.00)
Mail $300 check (0)
Pay at banquet (0)
Amount
If paying by check, select "mail check" above and send check to
CEF Gwinnett
3651 Peachtree Pkwy #137
Suwanee, GA 30024
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
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