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2. First Name*
3. Last Name*
5. Email*
7. RSVP*

   1. I will attend
   2. I am unable to attend (Please see below for an opportunity to contribute to Mike's gifts)
9. Would you like to RSVP for an additional guest?

   1. Yes
   2. No
11. Guest's First Name
12. Guest's Last Name
14. Guest's Email
16. Payment & Gift Contribution Opportunity
18. As his retirement gift, Mike has requested a donation to the George Washington Carver Community Center in Norristown. A second surprise gift is a dedication plaque that will be placed in the county's park system. If you would like to contribute to the gifts, please add your contribution to your $15 happy hour payment, which can be made to Jody Holton at paypal.me/JodyHolton or given to us at our event welcome table. Thank you.
    Click here to pay or contribute to Mike's gift
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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