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Online Tea Registration – Part 1

Thank you for registering for our 2010 Hearts for Hope Women's Tea. We're looking forward to seeing you on Saturday, May 1. In order to reserve your seat(s), please first complete Part 1 of our online registration form. After you click "submit," you will be prompted on to Part 2, which will allow you to pay for your seats by debit/credit card. If you have any questions, please feel free to call (515) 265-7272. Thank you!

*First Name
*Last Name
*Street Address
*City
*State    *Zip   
*First Phone No.   
Second Phone No.   
*E-mail
*Number of seats

Reservations are $25 per person and must be paid for prior to the Tea. After completing this form, you will be prompted toward an online payment form where you can pay for your seat(s) by debit/credit card. Please RSVP by Wednesday, April 21.

I am interested in hosting a table or inviting my friends. Please contact me with details.