2027 Event Registration

2027 Annual Luncheon Sponsors Form

Event Details:
Friday, February 20, 2026, 11:00 AM
The Ora, 578 McIntosh Rd, Sarasota, FL 34232

Sponsorship

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Number

Please list the name(s) for your ticket order.

First Name

Last Name

Email Address

Dietary Note

Name

First Name Last Name

Contact Email

Enter Email Confirm Email

Phone

Company

Address

Street Address City State / Province / Region ZIP / Postal Code

Please provide dietary restrictions if applicable for you and/or your guests

Please list the names of guests you would like to sit with.

Thank you for registering for the Embracing Our Differences Annual Luncheon. Once you’ve submitted this form, you will receive an emailed receipt.

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I would like to cover the processing fee.

Yes, I would like to cover the fees so that 100% of my contribution goes to Embracing Our Differences.

No, thank you.

Ticket/Sponsorship Subtotal

Ticket/Patron Subtotal

Sponsor Processing Fee

Price: $0.00

Ticket/Patron Processing Fee

Price: $0.00

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name