Registration Form for Celebrating Leadership and Courage, an evening with Riley Gaines (KC)

Celebrating Leadership and Courage, an evening with Riley Gaines (KC)

Monday, September 9, 2024
7 - 9 P.M.
Fiorella's Event Center
9000 W 137th St
Overland Park, KS 66221

Event Ticket Information

Promo Code (Enter Qty 1st, then enter code)

Additional Donation (Not tax deductible)

Contact Info

First Name

Last Name

Country

Address 1

Address 2

Postal Code

City

State/Province

Phone Number

Email Address

Yes, I would like to receive email communications.Yes, I would like to receive email communications.

Payment

Card Number

Card Type

Expiration Month

Expiration Year

Name On Card

CVV Code

Account Number

Routing Number

Name On Account

Account TypeCheckingSavings

Billing Address 1

Billing Address 2

Billing Postal Code

Billing City

Billing State

Billing Country

CAPTCHA

MULTIPLE TICKETS WILL BE UNDER PURCHASER'S NAME.
AT EVENT REGISTRATION TABLE, GUESTS SHOULD CHECK IN UNDER PURCHASER'S NAME.

For more information, please contact Heather Fellows at info@kansasfamilyvoice.com
Tax Deductible Donations can be made at the event or at our website: Donate to Kansas Family Foundation
Ministry Leaders and Pastors can call Heather Fellows at (785) 542-0220 or David Beauchamp at (913) 981-3253 to request a Promo Code for a discounted ticket