The Power of Women

5 – 8:30 p.m. on Tuesday, Nov. 29
at Indianapolis Downtown Marriott

THANK YOU FOR BEING A PART OF THIS INCREDIBLE EVENING!

• Please provide the information below for all of your guests and how you’d like to be recognized.
• Please wait to submit until all of your guests are confirmed, and you have gathered their information.
• If you have any questions, please contact Gerri Pagach at GerriP@cicf.org.

Power of Women guests' information

Your First Name *

Your Last Name *

Your Email *

Email

Confirm Your Email *

Confirm Email

How would you like to be recognized as table sponsor?

Please do not include in any sponsorship recognition.

I'd prefer to not be recognized.

Will you be attending the event yourself? *

Yes

No

Any dietary restrictions?

vegan

gluten-free

Guest One Information

GUEST 1 - first name *

GUEST 1 - last name *

GUEST 1 - email address *

GUEST 1 - employer/organization

GUEST 1 - dietary restrictions

vegan

gluten-free

Guest Two Information

GUEST 2 - first name *

GUEST 2 - last name *

GUEST 2 - email address *

GUEST 2 - employer/organization

GUEST 2 - dietary restrictions

vegan

gluten-free

Guest Three Information

GUEST 3 - first name *

GUEST 3 - last name *

GUEST 3 - email address *

GUEST 3 - employer/organization

GUEST 3 - dietary restrictions

vegan

gluten-free

Guest Four Information

GUEST 4 - first name *

GUEST 4 - last name *

GUEST 4 - email address *

GUEST 4 - employer/organization

GUEST 4 - dietary restrictions

vegan

gluten-free

Guest Five Information

GUEST 5 - first name *

GUEST 5 - last name *

GUEST 5 - email address *

GUEST 5 - employer/organization

GUEST 5 - dietary restrictions

vegan

gluten-free

Guest Six Information

GUEST 6 - first name *

GUEST 6 - last name *

GUEST 6 - email address *

GUEST 6 - employer/organization

GUEST 6 - dietary restrictions

vegan

gluten-free

Guest Seven Information

GUEST 7 - first name *

GUEST 7 - last name *

GUEST 7 - email address *

GUEST 7 - employer/organization

GUEST 7 - dietary restrictions

vegan

gluten-free

Guest Eight Information

GUEST 8 - first name *

GUEST 8 - last name *

GUEST 8 - email address *

GUEST 8 - employer/organization

GUEST 8 - dietary restrictions

vegan

gluten-free

Guest Nine Information

GUEST 9 - first name *

GUEST 9 - last name *

GUEST 9 - email address *

GUEST 9 - employer/organization

GUEST 9 - dietary restrictions

vegan

gluten-free

Guest Ten Information

GUEST 10 - first name *

GUEST 10 - last name *

GUEST 10 - email address *

GUEST 10 - employer/organization

GUEST 10 - dietary restrictions

vegan

gluten-free

Safety & Security Precautions

• All guests will need to provide proof of COVID vaccination at the time of registration. For those not vaccinated, proof of a negative PCR test within 48 hours of the event will be required.
• Photography or any recording of the event is strictly prohibited.
• This event is closed to the media.

I confirm that all guests are informed and have agreed to comply the safety and security precautions provided. *

Yes

If you are human, leave this field blank.

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