Order Tickets for the 2021 TWNPAC Democracy Dinner

Please complete the form below and advance to the end to click the Send button to purchase tickets for the 2021 Democracy Dinner via your PayPal account or credit card. 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.

    Select the number of dinner tickets you wish to purchase at $100 each. On this form you can order up to six individual tickets.

    1 ticket2 tickets3 tickets4 tickets5 tickets6 tickets

    Please provide the name and dinner choice corresponding with the number of tickets you are buying. Blank spaces will remain on the form if you order fewer than six tickets.

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

    Street 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 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

    Explain below if you need to be seated at a specific table

    To complete your order, click "Send" to advance to the payment page where you can pay by credit card or PayPal. If you encounter problems completing your transaction, please try another browser or device.

    Note:  You will not receive tickets via mail or email; you should check in at the registration table at the event to locate your table assignment. If you order more than one ticket, your guests will be listed under your name.

    Thank you very much!