Event Details

4th Annual Fall Gala

 

HURRY! LIMITED SEATS AVAILABLE! 

 

Saturday, September 28th
5:30 PM

 

MESA VERDE COUNTRY CLUB

3000 Clubhouse Rd.

Costa Mesa, CA 92626

 

--Delicious plated dinner--  
--Exciting raffle and live auction items!--

 

Please call (949) 515-9355 with questions.

Event Information

Quantity
Price
Total
Individual Ticket
X
$
125.00=
$
0

Table

Table of 10

X
$
1,200.00=
$
0

Platinum Partner

*see below for partnership details

X
$
10,000.00=
$
0

Gold Partner

*see below for partnership details

X
$
5,000.00=
$
0

Silver Partner

*see below for partnership details

X
$
2,500.00=
$
0

Bronze Partner

*see below for partnership details

X
$
1,000.00=
$
0

Final Total:
$
0

(please include names of guests in "Additional Comments" section below)

*Platinum Partners receive 2 premium tables for 20 guests.

Gold Partners receive 1 premium dinner table for 10 guests.

Silver Partners receive tickets for 6 guests.

Bronze Partners receive tickets for 2 guests.
All partners also receive special recognition in the event program as well as
on the NorthEast of the Well website.

Contact Information

Country*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments
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