Hacienda Ball 2017

Saturday, November 4, 2017

Quantity
Price
Total
La Entrada Sponsor

1 VIP Table (10 tickets) Recognition

X
$
2,000.00=
$
0

Table Purchase

1 Table (10 tickets)

X
$
1,000.00=
$
0

Single Ticket

One ticket

X
$
100.00=
$
0

Final Total:
$
0

Contact Information

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Email*
Confirm Email*
Phone*

If you've purchased a table, or more than one ticket, please include guest names.

Guest 1 (Including Self)*
Guest 2 (If Applicable)
Guest 3 (If Applicable)
Guest 4 (If Applicable)
Guest 5 (If Applicable)
Guest 6 (If Applicable)
Guest 7 (If Applicable)
Guest 8 (If Applicable)
Guest 9 (If Applicable)
Guest 10 (If Applicable)

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

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