Contributor Information

Will you be attending our Annual IPA Comedy Night? *

Attendee Information

Tickets (please enter quantity below - up to 5 tickets can be purchased at a time)
Ticket includes dinner, open bar, and entertainment.
(62 remaining)
(20 remaining)
Attendee Information (up to 5 attendees can be entered at a time)
 First NameLast NameEmail Address
Attendee #1
Attendee #2
Attendee #3
Attendee #4
Attendee #5

Donation Tickets (Unable to Attend)

Donations Tickets - Unable to Attend (please enter quantity below - increments of $201)
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Payment Information

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Please note: All donations and proceeds through this event are donations to the California Pharmacists Political Action Committee (CPh-PAC) and are considered political donations. Pursuant to state law, all donations are reported to the California Fair Political Practices Commission. Contributions to CPh-PAC are not deductible as charitable contributions for federal income tax purposes.
If paying by check, please make check payable to: CPh-PAC, ID# 1291777
Mail to: CPh-PAC 4030 Lennane Drive Sacramento, CA 95834
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