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Silver Gala Registration for Table of 10
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First Name
Last Name
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Contact Information
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Please provide the full names of the individuals who will be using these Gala tickets.

Please tell us if you would like your table to be near specific other Gala attendees.

If you or your guests prefer a "vegetarian" or "gluten free" meal at our event, please list the names of the individuals and their meal preferences here.

After clicking on Submit, you will be directed to the PayPal payment form to complete your ticket purchase.