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Masquerade Gala Reservation & Sponsorship Form

 

If different than name on the credit card that will be used for this purchase

Attendees must be 21+ to attend

(First Last, First Last, etc.)

Fill out only if you aren't filling the total number of seats that come with your sponsorship level

(First Last, First Last, etc.)

Please note: Sponsorship donations are fully tax deductible if Gala tickets are not used

$

Please enter the total donation $ amount you'd like to give

If applicable, please list the person you'd like to honor as you'd like the name to appear in the event program

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

  

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.
Total:   

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