2020 CASAblanca Registration Form

Select one ticket option*

Individual Virtual Tickets - $150.00 per ticket

Virtual Viewing Party Table (10 Tickets) - $1,500.00 for tickets

Number of Tickets

Viewing Party Name ex. Cindy Smith Crusaders or Jones Hardware Supporters (Max 50 characters)

Have you attended CASAblanca in the past?*

Yes No

Are you a past CASA supporter?*

Yes No

Title

First Name*

Last Name*

Suffix

Type of Address

Address*

City*

State*

Zip*

Primary Phone Number*

Phone Type*

Secondary Phone Number

Phone Type

Email Address*

Contact Preference*
All Phone Email Text Mail Select 1 or more