Order a Hosted Table for the TWNPAC Democracy Dinner

Please complete the form below and click the Send button to underwrite a Table  that costs $1,000 and includes ten dinner tickets and recognition in the dinner program.

State law requires us to collect the information on the form. Individuals may contribute no more than $2,000 per year to all PACs in the aggregate. Contributions from corporations are prohibited. Contributions are not tax deductible.

    Table Host (Required: Type your name exactly as it should be acknowledged in the program.)

    Address (required)

    City (required)

    State (required)

    Zip (required)

    Phone (required)

    Email (required)

    Occupation (Required - list profession or retired)

    Employer (Type NA if not applicable)

    Your name as it should appear on your nametag (required)

    Your dinner choice

    Your first guest's name as it should appear on their nametag (put TBA if not yet known)

    Your first guest's dinner choice

    Your second guest's name as it should appear on their nametag (put TBA if not yet known)

    Your second guest's dinner choice

    Your third guest's name as it should appear on their nametag (put TBA if not yet known)

    Your third guest's dinner choice

    Your fourth guest's name as it should appear on their nametag (put TBA if not yet known)

    Your fourth guest's dinner choice

    Your fifth guest's name as it should appear on their nametag (put TBA if not yet known)

    Your fifth guest's dinner choice

    Your sixth guest's name as it should appear on their nametag (put TBA if not yet known)

    Your sixth guest's dinner choice

    Your seventh guest's name as it should appear on their nametag (put TBA if not yet known)

    Your seventh guest's dinner choice

    Your eighth guest's name as it should appear on their nametag (put TBA if not yet known)

    Your eighth guest's dinner choice

    Your ninth guest's name as it should appear on their nametag (put TBA if not yet known)

    Your ninth guest's dinner choice

    Click "Send" to advance to the payment page where you can pay by credit card or PayPal.

    If you encounter problems submitting this transaction, please try another browser or device.

    Dinner tickets will not be sent to you. When you arrive at the dinner, you may get your name tag and table assignment at the registration table in the hotel lobby.

    Thank you very much!