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Gala Tickets
Gala Ticket
x $150.00
Name(s) of People You'd Like to Be Seated With
Sponsorships
Platinum Sponsorship
x $4,000.00
Includes 8 gala tickets
Gold Sponsorship
x $2,000.00
Includes 4 gala tickets
Silver Sponsorship
x $1,000.00
Includes 2 gala tickets
Your Name Listed in Gala Publications & Newsletter
Contact Information
Name *
First Name
Last Name
Address *
Address Line 1
Address Line 2
City
State
Zip
Email *
Cell Phone *
 I would like to pay for the 3% credit card processing fee.