2026 Annual Meeting Registration Form - Check

Heartland United Way's Campaign Celebration & Annual Meeting

First

Last

Suffix

If applicable, what business/organization do you represent?

This will be used for your confirmation email.

Phone

Mailing Address

City

State

ZIP Code

Purchasing

Sponsor a Table of 8 ($500)

includes meal for 8 people

Individual Tickets ($45/each)

Number of Tickets ($45/each)

Attendee #1

Be sure to include yourself if attending.

First Name

Last Name

Provide Dietary Restrictions

Attendee #2

First Name

Last Name

Provide Dietary Restrictions

Attendee #3

First Name

Last Name

Provide Dietary Restrictions

Attendee #4

First Name

Last Name

Provide Dietary Restrictions

Attendee #5

First Name

Last Name

Provide Dietary Restrictions

Attendee #6

First Name

Last Name

Provide Dietary Restrictions

Attendee #7

First Name

Last Name

Provide Dietary Restrictions

Attendee #8

First Name

Last Name

Provide Dietary Restrictions

Transaction Details

Total $ 0.00

Enter your credit card information and then continue to the Preview Page to review your total.