35th Anniversary Gala Ticket Purchase & Sponsorship Form Please complete this online form to purchase Gala Tickets and for sponsorship opportunities. Gala Tickets Sorry, there are no more tickets available. How many tickets would you like to purchase? Sorry, there are no more of this item. A maximum of 10 tickets may be purchased in one transaction if available. Please enter your desired quantity between 0 and 10. Guest 1 Name(Required) First Last Guest 1 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Guest 2 Name(Required) First Last Guest 2 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Guest 3 Name(Required) First Last Guest 3 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Guest 4 Name(Required) First Last Guest 4 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Guest 5 Name(Required) First Last Guest 5 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Guest 6 Name(Required) First Last Guest 6 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Guest 7 Name(Required) First Last Guest 7 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Guest 8 Name(Required) First Last Guest 8 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Guest 9 Name(Required) First Last Guest 9 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Guest 10 Name(Required) First Last Guest 10 – Food Selection(Required) Beef Fish (Salmon) Please choose if you would like beef or fish. Sponsor a Special Guest/Clergy Price: 23 sponsorships remaining. How many special guests/clergy would you like to sponsor? 012345678910111213141516171819202122232425262728293031323334 Clergy Table Sponsorships Sorry, there are no sponsorships remaining. How many clergy tables would you like to sponsor? Sorry, there are no more of this item. Dinner Wine Sponsorship Price: 5 sponsorships remaining. How many tables would you like to sponsor for dinner wine? 012345678910111213141516 To make an additional donation towards the event, please enter the amount below. Please enter the amount you would like to donate – example: 50.00 Would you like your sponsorship to remain anonymous?(Required) Yes No Not Applicable What is the name of Individual or Business to be Recognized?(Required) Billing and Payment Information Full Name (For Billing and Payment Purposes)(Required) First Name Middle Initial Last Name Telephone Phone Number(Required) Alternate Phone Number Email Address(Required) Enter Email Confirm Email Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Processing / Service Fee A 3% Processing and Service fee will be added to your total amount. Price: $0.00 Total Due $0.00 Please confirm the amount is correct and enter your payment information below and click submit. Payment Method Credit Card(Required) American Express Discover MasterCard Visa Supported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Comments This field is for validation purposes and should be left unchanged.
