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Event Tickets
Quantity
$2,000
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Platinum Sponsorship (20 tickets)
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10
$1,500
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Gold Sponsorship (15 tickets)
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10
$1,000
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Silver Sponsorship (10 tickets)
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10
$500
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Bronze Sponsorship (5 tickets)
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$40
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Single Ticket - Regular Price
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$25
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Single Ticket - Student Price
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10
I cannot attend the event but would like to make a contribution
$
Additional guest(s) name(s) if applicable
Contact Information
Name
First Name
Last Name
Organization (if purchasing on behalf of an organization)
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Add 3% to my total amount to help cover the payment processing fees