2026 Cornerstone Benefit and Auction

Banquet Registration

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Cell Phone

Home Phone

Email Address(Required)

Number of Banquet Tickets Requested(Required)

012345678

Ticket includes: Admission and Dinner

Provide First and Last Name(s) of each person you are registering to attend (Including yourself)(Required)

Do you need any special accomidations?(Required)

Yes

No

Someone from our office will contact you to discuss.

Any food allergies or restrictions?

Name of others to be seated near

If partial table order (under 8)

Would you like to be added to Cornerstone's Mailing List for Newsletters and other important Cornerstone News?

Already on mailing listYesNo

What mailing list method of delivery do you prefer?(Required)

E-mail

USPS

Both USPS and E-mail

Banquet Ticket Price

Price: $0.00

$50 per ticket requested

Total

Each ticket purchased will be used toward improving our facility and programs, and even more kids can be helped and supported through Cornerstone. Your partnership with us is so critical to achieving our mission. Thank you for your support!

Payment Method

Credit Card

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date   Security Code Cardholder Name

Thank you!