Register for Dinner

DINNER GUESTS ONLY: Complete section below. You can register up to 4 dinner guests, including yourself. Please have your guests' names and meal selections handy. If you do not have this information, please return later, or ask your guests to register independently. Thank you! ($100/person includes hors d'oeuvres during the cocktail hour.)

I am registering . . .

Meal Choice(s) for you and your party:

Select an item ($)

Thank you for registering! We look forward to seeing you.

Samaritan is classified as a 501 c 3 nonprofit, a registered charity, EIN number is 25-1425598. Your gift is tax-exempt, and you will receive an acknowledgment for your records. The official registration and financial information of Samaritan Counseling Center of Western PA (legal name) may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.