• NO REFUND for cancellation made on or after September 1, 2019
  • NOTE: To keep your transaction secured, we will not display a confirmation upon your payment submission BUT you will receive an immediate email receipt with the details of your transaction

Gala Tickets Purchase Options

Quantity
Price
Total
Non-Member Gala Ticket
X
$
200.00=
$
0

Registrant Information

Country*
Email*
Confirm Email*
Phone*

         ADDITIONAL PAID GUESTS AND SPECIAL REQUESTS     

IF YOU ARE ONLY PURCHASING ONE TICKET, ENTER "NONE" ON BOTH GUEST FIELDS
IF YOU ARE PURCHASING TWO TICKETS, ENTER YOUR GUEST NAME BELOW

If you are purchasing more than 2 tickets - Please provide ALL the names on the REGISTRATION NOTE BOX below - Keep in mind that the name of ALL your guests will be needed by September 30 - 2019.

First Name of Guest*
Last Name of Guest*

Please use the box below to provide ANY additional optional information about your registartion i.e. Full Names of Additional Guests if purchasing more than 2 Tickets - PLEASE INCLUDE ANY INFORMATION OR SPECIAL REQUESTS FOR MEALS, MEETS & ASSISTANCE AS REQUIRED BY YOUR PARTY

Registration Note

By completing this form, you provide consent for the Pan Am Museum Foundation to occasionally send you information. We will process your personal data in a safe, secure and responsible manner. We will never sell or pass your details on to any third party for marketing purposes. You can withdraw your consent at any time.

Pan Am Museum Foundation Email Sign-Up Consent*
  • I Do Wish To Receive Emails
  • I Do Not Wish To Receive Emails
  • Only Send Me Postal Mail

Payment Information

Amount*
$
Name on Card*
Card Number*

For Your Protection, Please Confirm The Security Message Below

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