MOTP Sponsor Form | Mississippi Center for Justice

Thank you for sponsoring this year’s Mississippi on the Potomac event. Your support is invaluable in making it a success. We appreciate your commitment to being a catalyst for change.

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Sponsor Registration

Sponsor / VIP Information(Required)

First Name Last Name

Table Topics(Required)

Choose your top three dinner conversation topics for seating placement.

Choice 2

Choice 3

How does your guest plan to participate?(Required)

*Note: Because seats for the Empowerment Dinner are more limited, it is important to clarify your guest(s) intentions. If your guest(s) plans to attend either the Empowerment Dinner or Reception, reservations must be made separately. In the event your guest(s) plans to attend both, please select “Both”.

Empowerment Dinner

Reception

Both

Empowerment Dinner Guests Information(Required)

First Name

Last Name

Phone Number

Reception Guests Information(Required)

First Name

Last Name

Phone Number

Dinner and Reception Guests Information(Required)

First Name

Last Name

Phone Number

Name

This field is for validation purposes and should be left unchanged.