Helen Keller Day 2023 Helen Keller Day 2023 Name* First Last Email Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Number of Dinner's$50.00 Each - Please RSVP by April, 6, 2023None12345678910Raffle TicketsPriceNone12345678910Prizes: 1st - 50" Smart TV 2nd - Tory Burch Watch 3rd - $250.00 Cash 4th - $100.00 CashSorry, we cannot attend, please accept my donation of: Partner OpportunitiesPlease RSVP by April 6NoneEye Safety Partner $25Guiding Light Partner $50Seer Partner $100Sight Saver Partner $250Luminary Partner $500Major Visionary Partner $2500Platinum Visionary Partner $5000Visionary Partner $1000Total $0.00
