Register for Dinner in honor of Daniel Ellsberg

Monday, January 4, 2016, San Francisco, California

Title First Name Last Name

Street Address

Town/City Province/State Zip/Postal Code




Name of Organization

$100 per dinner

$65 per dinner for EPS members (before December 18)

$25 per dinner for students

EPS memberships are $35.  Become a member of EPS before December 19 to receive the member discount on the dinner.

You can also honor Daniel Ellsberg by supporting the dinner. Supporters will be gratefully acknowledged in the program.

Benefactor $5000

Patron $1000

Sponsor $500

After you click submit you will be taken to a page where you can enter your credit card information. It is not necessary to re-enter all of your contact information again. Thank you for registering for this event. We look forward to seeing you in San Francisco in January.

To clear your responses and start over, click "Reset."
To send your responses, click "Submit" ONCE.