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Christmas A Season to Celebrate

Lupus Fundraiser Dinner

Attendee Name *

Dinner options *

Other Food Concerns

Attendee Email

Attendee Contact Number

P. O. Box 25791

Richmond, VA 23260

Tel: 804-321-0107

Email: Programs@enhancementfoundation.org

Thank you for allowing us, to help you to build your legacy!

Special group rate for more than 8 people or more. $65 per person plus credit card fee($2.75) each

Please get in touch with us.

Monday -Friday 9:00 am - 5:00 pm

Sat-Sunday: Open for special activities only.

Interested in our services?

Please get in touch with us, via the form below and we will get back to you.

Name *

Email Address *

Phone number *

Company's name

Address (street, city, state and zip)

Certified?

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Pursuing A Career or Working

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What Career Are You Pursuing? Where Do You Work? *

Entrepreneur

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How long have you been in business?

Is Business Incorporated?

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Please provide certification type:

Other Concerns: Health, Need Information, Housing, Domestic Violence, Financial, Social, Professional, Emotional, Inspirational, Food, Clothes, Counseling, Veteran, Training|Educational, or Other

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Please Specify

Special Other Concerns

What Program Event Are You Planning To Attend? Please Specify.

What legacy do you wish to leave for the next generation?

Do you have children?*

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How many children?

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Gender

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