2018 Spring Gala 

   My Information
  Parent   Grandparent
 First Name
 Last Name
 Phone Number
 Street Address
 City, State
 Zip Code
   Admission & Raffle Tickets
 Admission $50 per person
*Each admission comes with 1 Raffle Ticket
  Admission Tickets
 Additional Raffle Tickets:
$10 each  OR
3 tickets for $25  OR
10 tickets for $70
 Celebration Sponsor
4 complimentary tickets & 15 raffle tickets
 Gold Sponsor
2 complimentary tickets & 10 raffle tickets
 Silver Sponsor
1 complimentary ticket & 5 raffle tickets
  Payment Information 
 Name on Credit Card
 Credit Card Type
 Credit Card Number
 CVV Code
 Exp. Date   
Amount to be Charged
Billing Street Address
Billing City, State
Billing Zip Code