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Registration and Payment 
for the 2021 Annual Dinner Gala

Note: Please use Chrome browser. You may not be able to pay with Explorer browser.  You don't need your own PayPal account to make a payment. You can use your credit or debit card and your payment will go through PayPal.  Please call or email us if you have any further issue.  919-278-7857/jasncorg@gmail.com

No Refund after 12/03/21  (Tax and Gratuity included)

At this time the  registration form is closed. 

Note: Corporate Regular/Silver Level Members are offered free tickets (regular members - 1 ticket and Silver member - 2 tickets).    Please email us to register.

Step 1

After you fill out the form, please click "Submit button. Click"PayPal
Checkout".  Note: Please click "PayPal Checkout" even if you want to check out with credit and debit card.

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Step 2

If you choose to pay with PayPal, please enter your email address and password for your account.

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If you want to pay with your credit or debit card, please click "Pay with Debit or Credit Card" and proceed accordingly.

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