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Silver Gala Registration
Contact Information
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First Name
Last Name
*

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Please provide the full names of the individuals who will be using these Gala tickets.

Names of other Gala attendees with whom you would like to be seated.

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.