Online RSVP and Prepay Option

Community Mediation Services
presents
Peace by Piece
An event to honor the peace builders in our community

Tickets: Adults $30

Students $15 (with ID)

Table $175 (eight seats)

Once you have completed and submitted the RSVP form below, you will be given the opportunity to prepay for your tickets using Paypal.

Name	(Required)
Total Number of Guests (including yourself)	(R)
Mailing Address	(R)
Email	(R)
Phone Number	(R)
If you are a student, please enter your student ID # here
If you are registering any guests who are students, please provide their names and student ID #s here
Would you like to be added to our newsletter mailing list?	No Yes   (R)
Verification (to make sure you're human) Enter the text you see in image (or refresh for new text)
Note: Please do not include any URLs in form.