Ladies' Gala

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Full Name*
First Name Last Name
E-mail*
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Phone Number*
Of the $54 ticket price, $30 is eligible for a charitable donation tax receipt.
Number of Attendees $54/ Per person* $54/person
Number of Raffle tickets $10/ Ticket $10/Ticket
$10/Ticket
Please provide the names and email addresses of any additional attendees here so we can send them updates about this event.
Full Name 1
First Name Last Name
E-mail 1
Full Name 2
First Name Last Name
E-mail 2
Full Name 3
First Name Last Name
E-mail 3
Comments
Sponsorship opportunities available:

Your name will be printed in our program booklet
$50 half page advertisement$100 full page advertisementGold Sponsorship : $75Silver Sponsorship : $50Platinum Sponsorship : $100
Total

$0.00 CAD

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We accept Visa, MasterCard, American Express
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Expiration Month	Expiration Year

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