Sparkle Registration

Sparkle & Shine is a fundraising event, the proceeds of which will allow us to continue to serve and bring about positive change. It will help you learn about what we do and why we do it. The event is a celebration of the successes of those we serve, and it is a request for your support. Eat lunch, have fun, and learn why those we serve sparkle and shine in our community.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email
I would like the vegetarian option.
- Yes
Number of Tickets
Please enter a number greater than or equal to 1.
Guest Information
First Name Last Name Email Vegetarian Option (Yes or No)
Table Host
Did a table host invite you to Sparkle & Shine? Please choose their name below.
Additional Comments
Comments
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A Better Way, Muncie
Office: 765-747-9107
P.O. Box 734 Muncie, IN 47308
Fax: 765-281-2740

A Better Way, Richmond
Office: 765-966-0538
15 S. 11th St. Richmond, IN 47374
Fax: 765-966-0530

First Name	Last Name	Email	Vegetarian Option (Yes or No)