2019 Champions for Children Gala

Quantity
Price
Total
Gala Seat
X
$
150.00=
$
0

Contact Information

Please check the appropriate box:
  • Ticket Purchase(s) - Please add other guest names in box below
  • Teacher Sponsorship - Please use my gift to send a teacher to the gala in my name
  • Contribution - I am unable to attend the gala
Additional Guest Names
If your reservation is made upon the request of a Board Member or Table Host, please share their name here, including additional comments you wish to share
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Payment Information

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

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