Lancaster Registration Form

2026 Lancaster Prayer Breakfast Friday, November 6, 2026

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Tickets and Table Sponsorship
Price per person: $20.00
Non-Profit Table Sponsor – $300.00
Business and Individual Table Sponsor. – $500.00
Table / Sponsor Name:*
Table / Sponsor Organization
if applies
Additional Donation
Total
$0.00
Credit Card*
Card Details
Cardholder Name