Community Mediation Services

Online RSVP and Prepay Option

(see form below)

University of Oregon

Ford Alumni Center

 on

Wedesday March 6th, 2013

 Tickets: Adults $55

 Students $25 

 (Students must present valid ID)

Parking: $10 at the door without RSVP by 5:00pm, Monday, March 4th 

Corporate or Table Host $600 (eight seats)

(Includes promotional package; please contact us for details)

Once you have completed and submitted the RSVP form below, you will be given the opportunity to prepay for your tickets using Paypal.

Name	(Required)
Guest Name (Please type "none" if appropriate)	(R)
Guest Name (Please type "none" if appropriate)	(R)
Guest Name (Please type "none" if appropriate)	(R)
Guest Name (Please type "none" if appropriate)	(R)
Guest Name (Please type "none" if appropriate)	(R)
Guest Name (Please type "none" if appropriate)	(R)
Guest Name (Please type "none" if appropriate)	(R)
Mailing Address	(R)
Email	(R)
Phone Number	(R)
If you are a student, please enter your student ID # here
If you are registering any guests who are students, please provide their names and student ID #s here
How will you be paying?	- Select - Online Mailed Check At the Door (R)
Would you like to receive our online newsletter?	Yes No   (R)
Verification (to make sure you're human) Enter the text you see in image (or refresh for new text)
Note: Please do not include any URLs in form.