2018 Parents’ Day Banquet Online Registration 2018 Parents’ Day Banquet is sponsored by: Family Federation for World Peace; Universal Peace Federation; American Clergy Leadership Conference; Women’s Federation for World Peace; and The Washington Times Foundation To register for the banquet, please fill out the following form for each person.Name* Honorific First Last Title*Organization*Email* Phone*Invited By:*Please select from the list on this boxParents of the Year CommitteeAmerican Clergy Leadership ConferenceFamily Federation USAThe Washington Times FoundationUniversal Peace Federation USAWomen's Federation for World Peace USAOtherOther:*Please select one*I am a 2018 Parents' Day awardeeMy parent is a 2018 Parents' Day awardeeI'm paying at the door (Cash or check only)Paying by credit cardEvent Fee (Per Person)* Price: $10.00 I want to make additional donation: Total $0.00 Payment by Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Cardholder Email* Cardholder Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code NameThis field is for validation purposes and should be left unchanged.
