Registration

Fields marked * require an entry.

If paying for reservation by check please type check into discount code. Online donations to honor Mr. Farrell may only be accepted by credit card. Thank you so much!
Checks may be mailed to:
CMH - Farrell
601 E. College Ave.
Waukesha, WI 53186

Package Name	Amount	Subtotal

Save Me A Spot in the Cafeteria	$40.00	$0.00

Includes Beer & Wine Bar, Delicious Food Stations and Great Company!

Sponsor a Faculty/Staff Member	$40.00	$0.00

Please accept this donation to CMH in honor of Mr. Pat Farrell (donations may be accepted online only by credit card):

Total:

$0.00

Discount Code:
(displayed on Confirmation Page)

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