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)

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.

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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