SouthSide Early Childhood Center Gala

Please fill out the form below to register.
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Contact Information

Yes, I can attend!

Please Reserve Champion Table(s) at $1,850 per table of ten.
Please Reserve Individual Ticket(s) at $185.00 per person.
Please Reserve Individual Young Professional Ticket(s) at 135.00 per person.

Donations

I wish to make a donation to SouthSide Early Childhood Center and be listed among the donors
in the event Program. (This gift is fully tax deductible.)

$

Payment Information

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Guest Information

Please provide the names and addresses of your guests. Tickets will be held at the door.

Guest One

Guest Two

Guest Three

Guest Four

Guest Five

Guest Six

Guest Seven

Guest Eight

Guest Nine

Guest Ten

Security Code

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