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5oth Anniversary Gala Registration

50th anniversary logo

First Name*

Answer Required

Last Name*

Answer Required

Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Phone*

Number Required

Quantity

Single Admission

Price: $100.00

Quantity

Table of Ten

Price: $1,000.00

Protein selection for purchaser:

Answer Required

Beef

Salmon

Vegetarian

Please list the names of additional attendees and their protein preference:

Answer Required

Confirmation Email

Confirmation Email *

Email Required