Purchase Table - High Tech Prayer Breakfast

2025 Event will be Thursday, November 6, 2025

Host Commitment Form

Early Bird Pricing until March 31, 2025

Please fill out this form and then submit payment via the PayPal links below. All fields are required, but if not applicable you can write "NA."

Your table(s) will not be confirmed until payment is received.

Your Name (if you are filling this out on behalf of the Host)

Host Name (this name will go on the program)

Host Email Address

Host Company Name (this will appear on the program)

If you are purchasing a half table, are you planning to partner with another host for the other half?

Are you purchasing a half table, full table, multiple (please list how many if multiple)

Date

If someone other than the Host will be responsible for filling the table/sending names please enter their contact information here.

By checking this box and submitting your information, you are granting us permission to email you. You may unsubscribe at any time.

Thank you!

Please return to the page and scroll to the bottom and make your table purchase. Your table will not be confirmed until you purchase!

Please use the links below to purchase your table(s)

Half Table

5 seats to the breakfast

450.00

Full Table

10 Seats to the breakfast

900.00