A Virtual Evening in Support of Dipika Damerla with Steven Del Duca

Virtual Online

Thursday, January 20, 2022

7:00 PM — 8:00 PM

Register now

Name*
First Last
Email*
Phone
Address*
Street Address City Province Postal Code
Ticket information
Regular Ticket Quantity
Price:
Quantity*
Please enter a number from 1 to 10.
Guest 1
First Last
Guest 2
First Last
Guest 3
First Last
Guest 4
First Last
Guest 5
First Last
Guest 6
First Last
Guest 7
First Last
Guest 8
First Last
Guest 9
First Last
Guest 10
First Last
Total
$0.00
Credit Card
Card Details
Cardholder Name
- I certify that I am 14 years of age or older, a resident of Ontario, and that I am paying this fee with my own personal funds.