Holiday Awards Gala Ticket Order
Holiday Awards Gala
  1. Holiday Awards Gala Ticket Order


  2. Information of the individual completing this form
  3. First Name*
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  4. Last Name*
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  5. Contact Phone Number*
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  6. Email Address*
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  7. How many of each ticket would you like to order?
  8. Please include the first and last name of individuals separated by a comma
  9. Athlete $15*
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  10. List Athlete Name(s)
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  11. Volunteer $15*
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  12. List Volunteer Name(s)
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  13. Guest $30*
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  14. List Guest Name(s)
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  15. Payment Information


  16. Card Holder's Name*
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  17. Credit Card Type*
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  18. Credit Card Number*
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  19. Credit Card Expiration Month*
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  20. Credit Card Expiration Year
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  21. CVV Number*
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    (3 digits located on back of card)
  22. Anti-Spam
    Anti-Spam
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    Please enter the letters you see in the box
  23.   
 

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