Registration for 2019 Annual Diwali Banquet

First Name*:
Last Name*:
Email*:
Re-enter Email*:
Phone#:
(xxx-xxx-xxxx)
Address*:
City*:
State*:
Zip Code*:
Number of adults ($40/adult, 13yrs & above, $50 after Oct. 25, 2019):
No. children ($20/child, 2-12 yrs, $25 after Oct. 25, 2019):
Make a General Donation to CMB:
Registration Total:
$
Donation Total:
$
Grand Total:
$


You are finishing the first step of registration to collect all relevant information. To complete your registration you must click the Make Payment button to select a method of payment. When we receive your payment your registration will be confirmed.