Minneapolis End of the Year Event Mpls JSU and NCSY End of Year Event 2021 Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*ReservationsI look forward to attending. Please reserve at $65 per person (single attendees). Quantity Price: $65.00 Quantity We look forward to attending. Please reserve at $118 per couple. Quantity Price: $118.00 Quantity Please reserve at $30 per person (for students and alumni of last 3 years). Quantity Price: $30.00 Quantity Please consider a gift to help JSU and NCSY cover and expand our programming.I would like to support Minneapolis JSU and NCSY as an:Event Patron for $360 - includes 2 seats. Quantity Price: $360.00 Quantity Event Sponsor for $613- includes 4 seats. Quantity Price: $613.00 Quantity Sponsor a Dinner N Learn series for $1,000- includes 6 seats. Quantity Price: $1,000.00 Quantity I'm sorry I cannot attend but would like to make a donation: Payment InformationTotal $0.00 How would you like to pay?* Credit Card Write a Check Bill Me Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name Special Instruction, comments, or requests:Please mail a check to: Minneapolis NCSY 4331 W. 25th St Minneapolis, MN, 55416
Midwest NCSY
Midwest NCSY