United Way Siouxland | Women's Power Lunch Registration

Register for the Women's Power Lunch. After you submit your registration, you will be redirected to the page where you can choose your payment options. If you are requesting to be billed by mail, please let us know if you want to be billed as a group or separately. Thank you!

Registration Information

First Name*
Last Name*
Organization*
Address*
City, State and Zip*
Phone Number*
Email Address*

Ticket Information

Table Tickets

Gold $1,250 (10 luncheon tickets, 10 VIP reception tickets, name on program, mention at event)

Silver $500 (10 luncheon tickets, name on program)

Number of Gold Tables
Number of Silver Tables

Individual Tickets

($50 each, luncheon only)

($75 each, reception only, luncheon ticket sold separately)

Number of Individual Luncheon Tickets
Number of Individual Reception Tickets

Power of the Purse Raffle Tickets

($5 each or 5 for $20

Number of Raffle Tickets

(If you would be interested in donating a purse for the raffle, please call our office at 712-255-3551 to make arrangements)

Number of Vegetarian Meals

Message Or Comments

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