CoffeeHouse Registration

Friday, September 17th from 7pm-8:30pm

Thanks for registering for our September 17th "Getting Silly in September" Coffee House Event!
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CoffeeHouse Date
September 17, 2021
Registration*
Please select whether you are an attendee or a performer.
- Attendee
- Organizer (code required)
- I'd like to be a performer (approval required)
- I'm an approved performer
Organizer Code*
Performer Details
If you'd like to be a performer in the program, please describe what you would like to share at the CoffeeHouse and we will get back to you you with an approval within 48 hours.
Performer Code*
If you are an approved performer, please enter the code you were sent here to get your ticket.
Attendee Ticket (Friends of UREC Level) Quantity
Price: $10.00
Attendee Ticket (Silver Supporter) Quantity
Price: $25.00
Attendee Ticket (Gold Supporter) Quantity
Price: $50.00
Attendee Ticket (Platinum Supporter) Quantity
Price: $100.00
Performer Ticket Quantity
Please check this box to get your performer ticket.
Price: $0.00
Organizer Ticket Quantity
Please check this box to get your organizer ticket
Price: $0.00
Would you like to purchase tickets for our 50/50 raffle?
- Yes
- No
How many? Quantity
Price: $10.00
Would you like to make an additional donation?
We welcome and appreciate any extra donation you may like to provide to support the work of the Underground Railroad Education Center.
- Yes
- No
Donation Amount
Total
$0.00
Name*
First Last
Email*
Credit Card
Card Details
Cardholder Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
If you are an approved performer, please make sure you ALSO
1. Register for a ticket
2. And upload your performance video at this link: https://drive.google.com/drive/folders/1-_Xt_GytZmiayT9zv4ny0F5OQtrEBXOv

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Friday, September 17th from 7pm-8:30pm

CoffeeHouse Registration

If you are an approved performer, please make sure you ALSO