Event Registration

Register for our Winter Gala by filling out the information below.

Please make payment via PayPal @ http://www.jeremiahscrossing.org/#/events-fundraising

Or, mail check to:

Jeremiah's Crossing, PO Box 126, Babcock, WI 54413

Tickets: $65 Each or $100/ Couple or Table of 8 - $400

Reserve your tickets early. Limited Seating Available

Cocktail Party Attire

Please register each guest separately.


Your contact info:


Please enter your full address:




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