Pillar Awards - Registration

To register for this year's Pillar Awards fill out the form below.

* = required field

Name*
Company
Mailing Address*
City*
State*
Zip*
Email*
Number of guests attending*
Please list the individuals that will be attending

Price for individual ticket is $50 each.

$0.00

- amount due (Number of guests x $50 each)

PAYMENT METHOD: *
I will send a check (payable to Women’s Resource Center) Send me an invoice I will pay the amount due by credit card using the secure link below :

When donating for tickets please fill in the Designation text box with “Pillar Award”.

funded in part by:

678 Front Ave. NW, Suite 180
Grand Rapids, MI 49504
Phone: 616.458.5443
Email: