Register for the Gala

First Name *

Last Name *

Mailing Address *

City *

State *

Zip *

E-mail Address *

Phone *

Number of people in your party *

Enter the number of people you are paying for with this registration (including yourself)

Names of people you are registering (other than yourself)

Beef entrée *

Enter the number of people in your party who want a beef entrée

Vegetarian entrée *

Enter the number of people in your party who want a vegetarian entrée

I would like to receive notices of news and upcoming events:

Yes

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Math question * 3 + 0 =

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