2019 Spring Gala Fundraiser

Join us for Cabaret Night!

RSVP required by Monday, April 22, 2019. * denotes required field.

* Name or Names

* Number of People Attending

Patron Levels

Partner

Package includes 8 meals and special signage.

Supporter

Package includes 4 meals and special signage.

Friend

Package includes 2 meals and special signage.

Dinner Guests

Number of Attendees or Additional Attendees

This section of the form is used only for the purchase of individual dinners. Please DO NOT include number of attendees from Sponsor Packages in your count here.

Donations and Seating Preferences

We cannot attend, but wish to make a tax-deductible donation to the Fundraiser in the amount indicated here. $

We have the following seating preferences ~ indicate here

Tables seat 8-10 guests

Account Details

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

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Please increase the payment amount by 3% to cover the cost of credit card fees (No fee for Checking)

Total: