Holiday Awards Gala Ticket Order

Holiday Awards Gala

Holiday Awards Gala Ticket Order
Information of the individual completing this form
First Name*

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Last Name*

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Contact Phone Number*

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Email Address*

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How many of each ticket would you like to order?
Please include the first and last name of individuals separated by a comma
Athlete $20*

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List Athlete Name(s)

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Volunteer $20*

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List Volunteer Name(s)

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Guest $30*

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List Guest Name(s)

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Food Allergies/dietary concerns:

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Please include name of individual and the allergy
Please include name of individual(s) and their allergy if necessary
Payment Information
Card Holder's Name*

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Credit Card Type*

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Credit Card Number*

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Credit Card Expiration Month*

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Credit Card Expiration Year

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CVV Number*

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(3 digits located on back of card)
Anti-Spam

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Please enter the letters you see in the box

Payment Information