2025 Gala Registration "*" indicates required fields Step 1 of 4 25% PhoneThis field is for validation purposes and should be left unchanged.Contact DetailsName* First Last Email* Enter Email Confirm Email Phone*Address Street Address Apt# City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Payment DetailsSelect Individual Tickets or a Table* Individual Tickets Table of 8 Individual Ticket Type Regular Price Ticket – $95.00 Please select the Regular ticketNumber of tickets neededTable of 8 Regular Price – $750 Please select the regular price.Number of tables needed123 Guest InformationFill out information for the tickets you purchased. If you don’t have the information right now, we will send you a follow up form to fill out.Guest 1Guest 1 Name (Your name if using the first ticket)Meal ChoiceSelect your entreeChickenFishVeganGuest 1 ContactOptional if different from above. Please provide email and/or cell phone to help the check-in process go smoothly for your guest.Guest 2Guest 2 NameMeal ChoiceSelect your entreeChickenFishVeganGuest 2 ContactOptional if part of your household. Please provide email and/or cell phone to help the check-in process go smoothly for your guest.Guest 3Guest 3 NameMeal ChoiceSelect your entreeChickenFishVeganGuest 3 ContactOptional if part of your household. Please provide email and/or cell phone to help the check-in process go smoothly for your guest.Guest 4Guest 4 NameMeal ChoiceSelect your entreeChickenFishVeganGuest 4 ContactOptional if part of your household. Please provide email and/or cell phone to help the check-in process go smoothly for your guest.Guest 5Guest 5 NameMeal ChoiceSelect your entreeChickenFishVeganGuest 5 ContactOptional if part of your household. Please provide email and/or cell phone to help the check-in process go smoothly for your guest.Guest 6Guest 6 NameMeal ChoiceSelect your entreeChickenFishVeganGuest 6 ContactOptional if part of your household. Please provide email and/or cell phone to help the check-in process go smoothly for your guest.Guest 7Guest 7 NameMeal ChoiceSelect your entreeChickenFishVeganGuest 7 ContactOptional if part of your household. Please provide email and/or cell phone to help the check-in process go smoothly for your guest.Guest 8Guest 8 NameMeal ChoiceSelect your entreeChickenFishVeganGuest 8 ContactOptional if part of your household. Please provide email and/or cell phone to help the check-in process go smoothly for your guest.Seating Request?Table InformationWithin the next few days, our registration chair will send you an email with a link to fill out information about your table guests and their meal selections. Click “NEXT” to enter payment information. Total Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Δ