Individual Gala Ticket

$100 Individual Gala Ticket Includes:
- Cocktail Hour
- Dinner for 1

Address Block - US

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Address Line 2

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Email Address *

Please list email address where you would like to receive your invoice.

Billing Information *

Please list who your invoice should be sent to. for example: Company name ATTN; John Smith, Address, Phone Number, Email Address.

Phone Number *