Tickets - March 3, 5-10 PM

Quantity
Price
Total
Number of Tickets
X
$
175.00=
$
0

**Important**  Tickets are $175.00 each; includes open bar and dinner. In the Additional Comments section at the bottom of this form please list for each ticket purchased the name of the individual(s) and their email address.

Contact Information

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Email*
Confirm Email*
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Payment Information

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$
Name on Card*
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Additional Comments

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