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First Name
*
Last Name
*
E-mail Address
*
Phone Number:
*
Couvert: $360/couple. $180/person. Each reservation entitles the attendee to an ad of equal value.
Will you be attending the Dinner Gala?
*
Yes, I would be delighted to attend.
No, I am unable to attend.
Journal Ad Dedication *Ad Deadline Feb. 24
*
10 Tickets (Includes Guardian Level Ad) $50,000
10 Tickets (Includes Ambassador Level Ad) $25,000
10 Tickets (Includes Benefactor Level Ad) $10,000
10 Tickets (Includes Patron Level Ad) $5,000
6 Tickets (Includes Pillar Level Ad) $2,500
4 Tickets (Includes Advocate Level Ad) $1,000
2 Tickets (Includes Full Page Ad) $500
2 Tickets (Includes Half Page Ad) $360
1 Ticket (Does Not Include Ad) $180
I would like to place a donation below instead.
Journal Ad Copy *Ad Deadline February 24
Number of Additional Guests
1 Seat
2 Seats
3 Seats
4 Seats
5 Seats
6 Seats
7 Seats
8 Seats
9 Seats
10 Seats
Additional Guest First and Last Names
+
-
Seating Requests
Other Donation Amount: