The Community Foundation of Frederick County

38th Annual Report to the Community Event
Thursday, November 21, 2024
5:30 p.m. – 8:30 p.m.

Frederick Event Center

Please complete information below to RSVP and

process the voluntary tax-deductible contribution of $30 per person.

Please respond by Nov. 1, 2024.

If you have any questions, please call our office at 301.695.7660.

Qty

Description

Amount

Total

Voluntary Tax-deductible Contribution

$30.00

per person

Total: $30.00

ATTENDEE INFORMATION

First Name: *

Last Name: *

Email: *

Attending? *

Contact Phone Number: *

Best phone number to contact you should reception details change.

Gluten Free/Vegetarian Option Needed

NAME OF GUEST (optional)

Guest First Name:

Guest Last Name:

Gluten Free/Vegetarian Option Needed

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Email: *

A receipt will be emailed to this address.

Comments:

Payment Information

Name on Card:

Card Number:

Security Code:

Expiration Date: