Registration Form

12th Annual Eastern Idaho Distinguished Humanities Lecture and Dinner with Douglas Brinkley
Friday, April 26, 2019 7:00 PM
Shilo Inn, Idaho Falls
Description Amount Quantity Subtotal
General Ticket $50.00 $0.00

General Ticket includes a dinner and the lecture.

*If you want to be seated with a specific person please mention in special accommodations field on the next page.
General Table (10 included) $500.00 $0.00
Benefactor Ticket $75.00 $0.00

Benefactor Ticket includes a private reception with Mr. Brinkley prior to the event, the dinner, and the lecture. 

*If you want to be seated with a specific person please mention in special accommodations field on the next page.
Benefactor Table (10 included) $750.00 $0.00
$0.00
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