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2025 Catholic Charities Ball
Name
Prefix
Dr.
Fr.
LCDR
Mother
Mr.
Mr. & Mrs.
Mrs.
Ms.
Rev.
Sr.
First Name
*
Last Name
*
Suffix
Spouse Name (Optional)
Spouse Prefix
Dr.
Fr.
LCDR
Mother
Mr.
Mr. & Mrs.
Mrs.
Ms.
Rev.
Sr.
Spouse First Name
Spouse Last Name
Spouse Suffix
Contact Information
Address
*
City
*
State
*
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces America
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Micronesia - Fed St
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northern Mariana Isl
Northwest Territories
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Sk
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Yukon
Zip
*
Email
*
Confirm Email
*
Cell Phone
Teléfono celular
휴대 전화 번호
Điện thoại di động
Home Phone
Teléfono residencial
집 전화 번호
Điện thoại nhà
Work Phone
Teléfono del trabajo
직장 전화 번호
Điện thoại làm việc
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