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An Evening Out At Home

We're so glad you'll be joining us for An Evening Out At Home on Saturday, May 4, 2019. The evening starts at 6 p.m. with delicious meals and lively conversations in the homes of gracious supporters and friends. Then we'll gather for dessert, drinks, and dancing at Comedy @ The Carlson at 50 Carlson Road in Rochester

Please register with the form below. If you have any questions, email Julie Johnson or call her at 585.341.4353.


An asterisk (*) indicates a required field.

Seat Selection

Regular Seats
select

Patron Seats (starting at $250; lets you show additional support and receive special recognition) 
select

New Guest Seats ($75 for first-time guests only) 
select

Additional Contribution (optional; tax-deductible) 
Total

Guest Information

Guest 1 (you)

First Name*

Last Name*
Food Allergies or Special Request
Guest 2

First Name*

Last Name*
Food Allergies or Special Request
Guest 3

First Name*

Last Name*
Food Allergies or Special Request
Guest 4

First Name*

Last Name*
Food Allergies or Special Request
Other Comments

Contact Information

select

Title

First Name*

Last Name*

Suffix

Home Address
select


Company/Organization
Phone Number* (000-000-0000)  
Email*  
How would you prefer to receive your dinner assignment?*

Payment Information

Credit Card Type*
select
Credit Card Number*
Expiration Date* (00/00)
/
CVV
Total:  $ 0

PHONE 585.271.4100 | FAX 585.271.4292 | racf@racf.org
500 East Avenue, Rochester, NY 14607

PHONE 585.271.4100 | FAX 585.271.4292 | info@racf.org
500 East Avenue, Rochester, NY 14607

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