ZBT USC Charity Fundraiser | Secure Contributions

Form ZBT USC Charity Fundraiser

First Name *

Last Name *

Phone

Email *

Initiation Year

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Registration

I would like to attend the event!

Alumni registration is $225

Number of Guests

Payment Amount for Guest(s)

Each guest registration is $225

Guest Names

Please enter the first and last names of any guests that you will be bringing.

I am unable to attend, but I would like to make a donation to Wayfinder Family Services.

Please enter the desired number of each entree type for you and/or your guests in the boxes below.

Chicken

Salmon

Vegetarian