Silent Spring Institute · 2023 Gala Program Registration

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Gala Celebration 2023 Event Registration

We are excited to share a special night honoring Drs. Julia Brody and Jack Erban with you on October 12!

All RSVPs must be received by September 22, 2023.

This form is for both sponsors AND members of the general public who wish to attend the event.

Silent Spring Institute's 2023 Gala is open to Sponsors and their guests as well as to members of the public. If you are unable to sponsor, please make a donation that feels reasonable to you using the form below. Your presence is very important to Julie.

Advance registration is required for all attendees.

Contact Information

Name

First Name

Last Name

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Optional Donation for non-sponsors:

Amount

$350

$300

$250

My guests and I will joyfully attend (check all that apply):

The cocktail hour

The program

Additional Guest Information

Please share the names and emails of your guests so we can prepare for them and ensure that the evening runs smoothly. If you will be bringing more than four guests to the event, specify the number of guests in the notes box, below. We will be in touch with you right away.

Guest's name

First Name

Last Name

Guest's email

Verify Email

Add a second guest?

Yes

Second guest's name

First Name

Last Name

Second guest's email

Verify Email

Add a third guest?

Yes

Third guest's name

First Name

Last Name

Third guest's email

Verify Email

Add a fourth guest?

Yes

Fourth guest's name

First Name

Last Name

Fourth guest's email

Verify Email

NOTE:

If you will be bringing more than four guests to the event, please specify the number of guests in this notes box.

Questions? Contact Shari at caplan@silentspring.org or Rachel at sarvey@silentspring.org

Special note: If you would like to stay at Revere Hotel Boston Common on October 12, you can use this link to reserve a room by September 13th at a reduced rate.

As a reminder, per IRS regulation, if sponsorship is paid for via a Donor Advised Fund or other family foundation, donors are not permitted to receive any of the tangible benefits listed in the sponsor form. The event will not be ticketed and therefore admission to the event is not considered a tangible benefit.